Medicaid Costs and Coverage in Nebraska

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How much is Medicaid in Nebraska and what services are covered by Medicaid programs? These two questions about Medicaid coverage are frequently asked by the potential beneficiaries who seek much-needed medical assistance. Under the management of the Department of Health and Human Services, various types of Medicaid insurance cover a range of medical services. Additionally, Medicaid coverage takes care of most or all of the costs of health care, although beneficiaries have to pay out-of-pocket costs in certain instances. Learn more details about Medicaid cost estimates in Nebraska and what services are covered by Medicaid by continuing on to the below sections.

What services are covered by Medicaid in Nebraska?

Medicaid coverage in Nebraska involves a lot of benefits made possible by the cooperation of state and federal officials. Medicaid services vary, and the range of coverage is broad, but not all medical procedures fall within the services provided. It’s important for potential beneficiaries to understand what services are covered by Medicaid, because, for some beneficiaries, Medicaid may not assist in specific cases. However, the flexibility of the program makes it possible to cover a lot of individuals or families who meet eligibility requirements. Additionally, while Medicaid coverage is established federally, Nebraska may adjust coverage costs and services according to state resources and requirements.

Coverage for Medicaid in Nebraska benefits low-income families who cannot afford medical care. And, luckily, since NE Medicaid coverage was first established by the U.S. government, there are many services that are deemed mandatory for inclusion. What this means is that all states must provide these services to applicants who learn how to apply for Medicaid successfully. It is important to note that whether a service is mandatory or optional, beneficiaries who use the service may face out-of-pocket costs. The types of Medicaid covered services required by all states include such services as:

  • Inpatient and outpatient care.
  • Home health care services.
  • Pediatrician visits.
  • Durable medical equipment.
  • Emergency room visits.
  • X-Rays.
  • Birth control and family planning.

Download our free guide to review a more comprehensive list of services covered by Medicaid.

Nebraska Medicaid coverage extends to include assistance for many different individuals or families. For instance, potential beneficiaries suffering from mental health or substance abuse problems receive assistance from the program. Mental health services are techniques, therapies or treatments provided to individuals with chronic, psychiatric disorders. Such coverage from Medicaid in NE regarding mental health includes:

  • Inpatient alcohol and substance abuse detoxification services.
  • Psychiatric evaluations.
  • Medication management.
  • Psychological testing.
  • Crisis intervention.
What services are not covered by Medicaid in Nebraska?

For individuals or families seeking Medicaid coverage, it is also important to learn the answer to, “What does Medicaid not cover?”, as the program excludes certain types of medical procedures. Knowing the services not covered by Medicaid means that potential beneficiaries will spend time trying to gain assistance that is not available. In most cases, procedures or other medical services not considered medically necessary, otherwise known as “elective” procedures, are not covered by Medicaid. Some of those services include:

  • Cosmetic procedures.
  • Hearing and dental services for beneficiaries.
  • Occupational, speech or respiratory therapies.

In addition to the above, it is also important to note that children’s healthcare programs in NE may offer different coverage. For instance, those covered by CHIP in Nebraska may not receive the same coverage in comparison to children enrolled in traditional Medicaid.

How much does Medicaid cost in Nebraska?

The goal of Medicaid cost estimates is to relieve the financial burden of medical costs from families already struggling with their lack of income. However, in many cases, expenses such as deductibles or copayments may be required of petitioners. It is vital for potential beneficiaries to understand the possibility of additional charges in regard to Medicaid.

Medicaid cost estimates in Nebraska vary, depending on the service. And while some Medicaid services incur costs, the state puts a limit on how much a provider may charge for a service. Medicaid benefits and the maximum limits for out-of-pocket costs are determined by the service, the size of a household and the income of a family. Petitioners approved for Medicaid coverage will receive detailed information about their particular situations, including what maximum potential expenses may be expected. In regard to costs, providers may choose to charge less than the maximum, or up to the maximum – but not a penny more.

How much does Medicaid cost? Sometimes, the answer is ‘zero.’ Certain exemptions keep beneficiaries from paying copayments at all. For example, costs for Medicaid benefits in NE for recipients who are minors, pregnant, disabled or living in nursing homes are typically nothing at all.

Applicants should note that Medicaid coverage in Nebraska extends across many services, providing them at a low cost. Some procedures require copayments, but other services do not. To learn more about Medicaid costs and coverage, download our guide.