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Mar
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How to Prove Eligibility for Income-Based Healthcare Assistance

What programs offer financial assistance for healthcare?

If you are uninsured, you might have noticed that healthcare costs can be very high when paying for care out-of-pocket. Health insurance premiums are also trending high. Fortunately, there are several other sources of assistance available that are worth looking into. Federal assistance programs for healthcare include the well-known Medicaid, Medicare, and Social Security. Other options include community health clinics, Federally Qualified Health Centers (FQHCs), free clinics, United Way’s 2-1-1 services, and smaller, lesser-known programs. There are also many assistance programs focused on prescription assistance, treating specific health conditions, or helping disadvantaged groups.

 

How do I apply or demonstrate eligibility for healthcare assistance programs?

Most healthcare assistance programs have eligibility requirements based on income. To qualify or apply for Medicaid, you will need to visit your state’s version of the Medicaid website; Medicaid benefits are administered by each state and rules may vary between states. 36 states have expanded Medicaid eligibility since the passage of the Affordable Care Act in 2010. Most states set maximum income limits for Medicaid eligibility somewhere between about $783 per month and $2,349 per month per single adult, or per spouse in married households. A few states allow no income limit for Medicaid eligibility. Medicaid is not restricted by age, but beneficiaries must also meet certain non-financial eligibility criteria, such as being a U.S. citizen or lawful permanent resident. By contrast, Medicare is generally only available to seniors over age 65, those with certain rare terminal illnesses, and individuals already eligible for disability benefits under Social Security.

State and county healthcare assistance programs may fill in some gaps that federal programs do not cover; for example, Covered California provides financial assistance towards health insurance premiums for moderately low-income California residents who may be ineligible for Medicaid. For children, federally subsidized low-cost health insurance under the Children’s Health Insurance Program (CHIP) may be available even if their parents make too much money to qualify for Medicaid. To find out what programs are available or to apply for assistance, a good starting place is your state’s or county’s health department’s website. You can also call 2-1-1 to find a community resource specialist who will help connect you with local resources, but their focus is not exclusively on healthcare. You can sign up for a free membership with SAMI-Aid to begin your search.

 

How can I find affordable doctors and clinics?

Many clinics, especially community health clinics serving low-income populations, offer discounted rates for healthcare services on a “sliding scale” based on income. For example, a clinic might charge an uninsured patient $150 for a low-level office visit, but then upon proof of the patient’s low income, might adjust the out-of-pocket cost down to $100 or even $50 or $40. It is always worth asking. For undocumented immigrants or those otherwise ineligible for other programs, a low-cost or free community health clinic might be the best option. You can also use the U.S. Department of Health and Human Services’ online tool to locate a Federally Qualified Health Center near you. To learn more about the types of community health clinics, click here. To learn more about finding a primary care physician without insurance, click here.

 

How can SAMI-Aid help me find affordable healthcare?

SAMI-Aid is offering free membership to all, including access to the premium Physician Price Search tool. This tool allows members to search for a local physician who accepts cash as payment and may offer steeply discounted rates. We have done extensive research and found many doctors who accept uninsured patients and charge an estimated starting fee of $100 or less per in-person office visit. If you still have questions, a SAMI-Aid representative will help you develop a strategy for accessing affordable healthcare for yourself and your family.

As another cost-saving solution, SAMI-Aid offers phone and video consultations with doctors for a flat fee of only $59.99 per visit, with no hidden or recurring fees. Nurse consultations are available through SAMI-Aid for only $39.99. Some experts estimate that telemedicine visits can save patients and providers up to 50% on healthcare. SAMI-Aid is committed to helping provide affordable healthcare for all.


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