Qualifications for Medicaid in Delaware

The Division of Social Services is responsible for approving Medicaid benefits in the state of Delaware. In order to apply for benefits, and individual must complete an application at a local Social Services branch or via the ASSIST (Application for Social Services and Internet Screening Tool) online portal. One of the main factors that help determine Medicaid eligibility, is whether or not the applicant is considered low-income.

  1. Low-Income Status

    • “Low-Income” status is determined by the Federal Poverty Level chart. This chart indicates the total amount of income a household can have and be considered impoverished. The income level varies, based on household size. The Federal Poverty Level chart is updated annually by the United States Department of Health and Human Services.

    Age Qualifications

    • Any low-income adult, who is between the ages of 19 and 65, can qualify for Delaware Medicaid. Low-income elderly individuals, who are over the age of 65, can also qualify. If an individual is under 19 years of age, she may qualify for Medicaid, only if she is pregnant or a dependent. A blind or disabled individual can qualify for Medicaid, regardless of her age.

    Other Factors

    • If an individual has access to bountiful assets and resources, it does not disqualify her from receiving Delaware Medicaid. Assets and resources are not evaluated during the qualification process. If an individual has dependants living in the same household, who are not biologically hers, she can qualify for Medicaid. This includes a step-parent, grand-parent, or siblings who may be raising other children.

    The Working & The Insured

    • An individual can still qualify for Medicaid if he is working, as long as his total household income does not exceed the Federal Poverty Level Guidelines. If the person has insurance through his employer, he can still qualify for Medicaid. However, he must be considered “under-insured” in order to qualify. Underinsured means that an individual has health insurance. However, his current health insurance is not sufficient to cover all of the health services that he needs. The underinsured individual may have problems paying medical bills and buying prescription drugs. He may often postpone seeking medical care, due to insufficient coverage.

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