Explaining Health Reform: Benefits and Cost-Sharing for Adult Medicaid Beneficiaries
Under health reform, Medicaid
eligibility will be expanded to reach nearly everyone under age 65 with income
below 133 percent of the federal poverty level. As a result, millions of
uninsured adults, including many with very low income and significant health
needs, will become eligible for the program. This brief provides details of the
benefit and cost-sharing rules that will govern the coverage available to these
newly eligible adults Medicaid beneficiaries, and it identifies key
considerations for state policymakers making Medicaid benefit design choices.