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Presumptive eligibility coverage is temporary. To maintain Medicaid benefits, individuals are encouraged to complete a full Medicaid application before their presumptive eligibility coverage ends. To complete a full Medicaid application, apply online at Kynect.ky.gov or call 1-855-306-8959.
Our plan offers a range of physical and behavioral health benefits. View the benefits below to see all that it offers. It's for people who meet income requirements and are eligible for Kentucky Medicaid. We serve pregnant women, children and young adults to age 21, families and adults.
This plan is available in all counties.
Individual care to help control your asthma or COPD.
You may qualify for care management services if you have asthma or COPD. Including respiratory equipment and supplies.
You will have a primary care physician (PCP) who will be your main doctor. Your PCP is the person you should see for most of your care. This includes checkups, treatments, vaccinations, minor injuries and health concerns. Talk to your PCP about any behavioral health concerns you may have. Your PCP can help you decide the right options for you.
Your PCP is your main doctor for:
Use the Doctor Lookup tool to see if your doctor is in our network. If you don’t have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Where you have your baby is an important choice. That's why you can pick from a large network of hospitals across Kentucky.
We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best. You are also rewarded with gift cards for taking simple steps to manage your diabetes.
If you experience a hospital stay and have diabetes or pre-diabetes, you are eligible to receive 14 home delivery meals post discharge.
Our diabetes program also includes self-care training and classes focused on:
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include supplies like:
If you have diabetes or a circulatory condition, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.
Our podiatry coverage includes routine foot exams for certain conditions.
When you're pregnant, you receive help and advice from your mom, aunts, sisters and girlfriends. Yet every pregnancy is different. This program will support you through your pregnancy. Get pregnancy and parenting support by calling (toll-free) 1-800-599-5985 (TTY 711).
We can help you:
After surgery or a serious illness—or if you have a disability—you may need extra help with day-to-day tasks. With approval, and ordered by your doctor, our plan covers:
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Our plan covers:
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.
We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.
Our plan includes:
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
We'll help you get the information needed to improve your health or be at your best.
You can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
Our plan includes prescription drugs and refills with no copays. We also cover over-the-counter medicines with a written order from your doctor.
And we make getting your medicine easy. You can fill your prescriptions at:
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.
We can also help you find:
Problems such as depression and anxiety can also be challenging for children and teens.
There are no costs for covered services. We have therapists and doctors for youth and teens that can address their specific behavioral health or substance use. Help get them extra support to live a heathier life.
Dailystrength.org is an online support resource that provides over 500 support communities for people facing similar life challenges, medical conditions and mental health issues.
Get the quality health care you deserve at no cost for covered services. You get:
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-800-985-3856 (TTY 711).
Our nurses will:
Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:
Sometimes the basics are hard to do yourself after an illness or injury.
If needed and ordered by a doctor, we provide someone to help with:
Do you or a family member have a serious health problem? If your health needs qualify then our care managers are in your corner. They will:
Your care manager will stay with you throughout the medical journey. He or she will:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN. With our plan, you also will be rewarded with gift cards for prenatal and postpartum doctor visits.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
Kids with positive role models make more healthy choices. That's why we provide free memberships to the Boys & Girls Clubs in your area.
Along with fun and games, these clubs offer help with:
After a serious illness, surgery or injury you may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
Routine shots help protect you from illness.
Our plan covers:
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
How to get non-emergency transportation
Kentucky Medicaid will pay to take some members to get medical services covered by Kentucky Medicaid. If you need a ride, you must talk to the transportation broker in your county to schedule a trip.
Each county in Kentucky has a transportation broker. You can only use the transportation broker for a ride if you can’t use your own car or don’t have one. If you can’t use your car, you have to get a note for the transportation broker that explains why you can’t use your car. If you need a ride from a transportation broker and you or someone in your household has a car, you can:
For a list of transportation brokers and their contact information, please visit the website https://transportation.ky.gov/TransportationDelivery/Pages/Human-Services-Transportation.Aspx or call Kentucky Medicaid at 1-800-635-2570. For more information about transportation services, call the Kentucky Transportation Cabinet at 1-888-941-7433.
The hours of operation are 8:00 a.m. to 4:30 p.m. ET, Monday through Friday; and 8:00 a.m. to 1:00 p.m. ET, Saturday. If you need a ride, you have to call 72 hours before the time that you need the ride. If you have to cancel an appointment, call your broker as soon as possible to cancel the ride.
You should always try to go to a medical facility that is close to you. If you need medical care from someone outside your service area, you have to get a note from your PCP. The note has to say why it is important for you to travel outside your area. (Your area is your county and the counties next to it).
You'll get the care and treatment that let you see life more clearly. Coverage includes:
Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
There are no copayments for preventive care.
Kentucky Medicaid Plan
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