Medicaid Costs and Coverage in New Hampshire

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New Hampshire Medicaid coverage helps low-income individuals and families get needed medical assistance. The types of Medicaid insurance provided by New Hampshire cover a broad range of health care services. The federal and state governments fund the program and determine who is eligible for Medicaid as well as what services will be available for those enrolled. The rules and regulations for the program are established federally but managed locally by state officials at the Department of Health and Human Services (DHHS). Medicaid cost estimates, such as copayments and deductibles, are low or nonexistence for some treatments and procedures. Learn what services are covered by Medicaid in New Hampshire and more about the costs associated with coverage in the outlined information below.

What services are covered by Medicaid in New Hampshire?

New Hampshire Medicaid coverage and the benefits are numerous and aimed at helping those who cannot otherwise afford health care. Services covered by Medicaid in New Hampshire are under the management of the DHHS, which provides specific information about Medicaid cost estimates and services included after approval from submitting a Medicaid application. The coordination of funds on the state and federal level allows the DHHS to manage the system in the best interest of state residents.

The flexibility of Medicaid coverage means that certain guidelines are mandatory while others are optional. For instance, the 2010 Affordable Care Act allowed states to expand Medicaid to a broad group of residents. New Hampshire chose to accept the expansion and receives additional funds to cover more people. The types of Medicaid insurance that are mandatory include:

  • Home health care services.
  • Inpatient and outpatient care.
  • Doctor visits and services from a primary care physician.
  • Pediatricians, including shots and other screenings.
  • Transportation to and from medical centers.
  • Dental care.

In addition to the federally mandated Medicaid coverage, New Hampshire Medicaid provides additional resources aimed at helping minors. Health care coverage for minors is more comprehensive than coverage for adults eligible to enroll in Medicaid. Children participating in the health care program will get additional covered services such as:

  • Braces for teeth when needed for health reasons.
  • Psychology and counseling.
  • Spine adjustment and other chiropractic services.
  • Private duty nurses in the home.
  • Vision, hearing, and dental screens.
What services are not covered by Medicaid in New Hampshire?

Finding out what does Medicaid not cover is just as important as knowing what health care services it does cover. Limited resources mean that Medicaid coverage in NH does not cover every person or every medical expense or procedure. For instance, Medicaid does typically not cover processes that are not medical necessity, are considered “elective” or are procedures that are not required immediately. Additionally, Medicaid coverage does not include services not relevant to medical care. Services not covered by Medicaid in New Hampshire include rentals from on-demand services while in a hospital room, hair transplants and procedures regarding cosmetic alterations. Services normally covered by Medicaid may be refused if participants seek treatments from out-of-network medical professional without prior consent.

Find out how Medicaid eligibility influences which health care services are covered and which are not in our comprehensive guide.

How much does Medicaid cost in New Hampshire?

New Hampshire Medicaid cost estimates try to be as low as possible to help low-income petitioners receive vital aid. However, it is essential to understand that additional costs may be required of beneficiaries. Before applying for NH Medicaid coverage, applicants benefit from knowing what expenses may be associated with Medicaid. For instance, families needing emergency services or requesting preventative services may face some out-of-pocket expenses. Certain Medicaid beneficiaries may be exempt from such extra costs, meaning residents will not pay any out-of-pocket expenses.

New Hampshire Medicaid cost estimates for potential beneficiaries remain low because the program receives adequate funding. However, there are circumstances in which recipients incur Medicaid costs. However, in cases where copayments are due, Medicaid caps the amount that a provider may charge for services. This is a key reason why Medicaid will only work with in-network providers. Established limits for Medicaid benefit costs are based on the income level and size of a household. Officials notify approved applicants and provide detailed information such as the cost limits. Keep in mind that providers are free to choose to charge the maximum amount but not more.

In certain situations, the answer to, “How much is Medicaid in New Hampshire?” is sometimes nothing at all. Certain petitioners receive exemptions from every paying copayments or other expenses associated with Medicaid. Recipients who are minors, living in nursing homes, pregnant or suffering from disabilities will typically not have to pay any out-of-pocket costs. Furthermore, emergency services and a broad range of assistance provided to the elderly and disabled will not face such expenses either.

Note: Medicaid cost estimates in New Hampshire and expenses associated with the program may change based on available resources and other factors.

For detailed information about Medicaid insurance, refer to our free guide.