Medicaid Costs and Coverage in Arizona

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“How much is Medicaid in Arizona?” is a common question asked by many prospective petitioners seeking low cost health care. Answering the question “How much does Medicaid cost?” and understanding the types of Medicaid insurance options available for potential applicants are both important initial steps to take. There will be different varieties of Medicaid coverage and costs available in Arizona depending on the applicant’s eligibility level. Being prepared for Medicaid costs can potentially alleviate any unnecessary problems, especially in terms of copayments. Understanding what services are covered by Medicaid can make all the difference for an applicant’s preparation. To continue to understand Medicaid services and the Medicaid cost estimates in AZ, continue reading the informative sections below.

What services are covered by Medicaid in Arizona?

Services covered by Medicaid in Arizona include mandatory services required by federal law, as well as optional services that the state chooses to provide to beneficiaries. Those who are eligible for Medicaid coverage will choose a health plan that covers medical services in their area, and they will also choose a primary care doctor. It is worth understanding that while these Medicaid services listed below are services offered for approved applicants, there may still be copayments involved. The variety of Medicaid covered services can also be affected by the eligibility level for each applicant and the types of Medicaid insurance options that are available. The services that are covered by Medicaid in AZ include but are not limited to:

  • Doctor’s visits.
  • Pregnancy care.
  • Emergency care.
  • Transportation to see doctors.
  • Labs and X-rays.
  • Podiatrist services.
  • Glasses, vision exams, dental screenings and services, hearing exams and hearing aids for children younger than 21 years of age.

To learn more about what services are covered by Medicaid, you can download our comprehensive guide today.

What does Medicaid not cover in Arizona?

Prospective applicants should understand what services are covered by Medicaid in Arizona, but they must also be aware of the services not covered by Medicaid. The types of services not covered by Medicaid in AZ usually fall within the same category and are not necessary, critical services for wellness. A few of the Medicaid services not covered in Arizona include:

  • Cosmetic services or cosmetic surgeries.
  • Orthodontia services.
  • Chiropractic services.
  • Specific vision, dental, hearing and behavioral services for adults 21 years of age or older.

You can download our complimentary guide to learn more about services that are not covered by Medicaid.

How much does Medicaid cost in Arizona?

Medicaid coverage in Arizona is a sought-after form of affordable health care, as it provides low-cost and no-cost insurance options. “How much is Medicaid?” is a common question. The exact costs for Medicaid services can vary. Beneficiaries will not be required to pay a monthly premium for traditional Medicaid insurance, but some groups will be required to pay a copay for certain services. Other beneficiaries are exempt from copay requirements. Depending on the types of Medicaid insurance options available, along with qualifications for each applicant, the Medicaid cost estimates can fluctuate. It is important for new applicants and potential applicants to understand AZ Medicaid cost estimates when applying for Medicaid coverage. This way, candidates and beneficiaries will know some of the key components for Medicaid coverage that can affect out-of-pocket expenses.

There are particular instances in which Arizona Medicaid copay costs can be waived entirely. For example, beneficiaries enrolled in the Breast and Cervical Cancer program will not have to pay a copay for any services rendered. Other persons who will never be asked for copayments for AZ Medicaid coverage and services include children younger than 19 years of age, persons determined to be seriously mentally ill, Medicaid applicants residing in nursing homes or assisted living facilities and applicants enrolled in the Arizona Long Term Care System.

In addition, Medicaid copayment costs will never be charged for certain services, no matter what category of Medicaid the beneficiary is qualified to receive. Some of these cost-free medical services include family-planning services, emergency services, preventative services and pregnancy related health care. Approved applicants will receive a more comprehensive collection of Medicaid services depending on the category of Medicaid for which they are approved.