What Medicaid Covers
Medicaid And Travel Out of State
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As you might imagine with respect to a plan that is administered by the state where you live, there can be problems with obtaining medical care outside the state. Each state has its own rules about out-of-state medical treatment, so check with your own state's Medicaid administrator before traveling out-of-state.
Generally, only the following are covered in another state:
- Charges related to a life-threatening emergency.
- Charges incurred when your health would be endangered in the absence of immediate medical care -- if a provider agrees to your state's provider enrollment contract.
- Charges pre-approved by Medicaid, such as treatment at a specialized out-of-state clinic.
- Charges along state borders where residents routinely seek treatment across the state line and for which Medicaid has made arrangements to cover this care.
Out-of-country coverage is never covered.
Edited by Thomas P. McCormack
Editor, Medicaid Watch and Independent Consultant
Washington, D.C.
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