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Learn About Medicaid Costs and Coverage in West Virginia

Medicaid coverage in West Virginia makes affordable health care available to eligible individuals and families struggling with income-related issues. The types of Medicaid insurance coverage available to applicants extend across a range of medical services. The funds for Medicaid coverage come from both the federal and state governments. In West Virginia, the state agents who administer the program review applications and provide information to applicants. Medicaid benefits cover a lot of services, but also withhold coverage. The program attempts to keep Medicaid cost estimates low, but in some cases, there are costs to the beneficiary. Medicaid costs include some out-of-pocket expenses for services the program may not cover. For those still wondering, “How much is Medicaid in terms of cost, and what services are covered by Medicaid?” continue to the sections below.

What services are covered by Medicaid in West Virginia?

The government establishes the WV Medicaid coverage regulations, including the procedures and services the program handles. Individual states may change certain Medicaid benefits, depending on local needs. The cooperation between government officials and vital funding helps make a system which can adjust to what the state requires.

A wide range of Medicaid benefits help eligible families or individuals struggling with money who cannot otherwise get affordable medical care. Services covered by Medicaid fall under the administration of local officials who give petitioners detailed information about Medicaid cost estimates. The combination of funds and coordination between state and federal governments allows state agents to manage the system in the best interest of potential beneficiaries. Mandatory types of Medicaid insurance include such things as:

  • Primary physician visits.
  • Transportation services.
  • Inpatient and outpatient care.
  • Family planning services.
  • Midwife services.
  • Pediatrician visits.
  • X-rays and other such tests.

And, thanks to the ACA Obamacare expansion that was enacted in West Virginia, now, even more beneficiaries can have access to the mandatory medical services covered by Medicaid.

Medicaid coverage in West Virginia provides aid to a lot of potential recipients throughout the state. All eligible beneficiaries can take advantage of the assistance granted by the program. However, in addition to Medicaid coverage, certain providers add additional resources aimed at helping anyone under a specific age. Some of the coverage provided to minors includes:

  • 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 West Virginia?

“What does Medicaid not cover in WV?” is another common question asked by potential beneficiaries. Understanding the services not covered by Medicaid removes any expectation from potential recipients. Resources are not unlimited, so state and federal officials prioritize necessary services and ignore procedures considered elective services. Some Medicaid coverage does not extend to services like:

  • Cosmetic procedures.
  • Hearing and dental services for beneficiaries.
  • Occupational, speech or respiratory therapies.
  • Any rentals through on-demand services in hospital rooms.

For a list of what is covered by Medicaid, download our free guide.

How much does Medicaid cost in West Virginia?

West Virginia Medicaid cost estimates are as low as possible to help applicants struggling with income. However, it is essential to understand that additional costs may be required of recipients. Prior to applying for West Virginia Medicaid coverage, petitioners benefit from knowing what expenses may be associated with Medicaid. For instance, those who need emergency services or preventative services may face some out-of-pocket expenses. Furthermore, some Medicaid beneficiaries may be exempt from such extra costs.

Medicaid cost estimates for potential beneficiaries remain low, because the program receives adequate funding. However, there are circumstances in which Medicaid costs are required from recipients. Also, in cases where copayments are due, Medicaid coverage limits the amount a provider may charge for any procedure covered by the program. Limits set for Medicaid benefit costs are based on the size and income level of a family. Download our guide to review more information about qualifications for Medicaid. State agents notify approved petitioners and provide detailed information such as the limits for costs. However, remember that providers are free to choose to charge the maximum amount, but no more.

In specific situations the answer to, “How much does Medicaid cost in WV?” may be ‘zero’ for certain services or recipients. Some beneficiaries receive exemptions from ever paying copayments or other expenses associated with Medicaid. The benefits of Medicaid in West Virginia are numerous, and for recipients who are minors, living in nursing homes, pregnant or suffering from disabilities, there are usually no out-of-pocket costs. To learn more about the costs and coverage associated with Medicaid, download our free guide.