Medicaid plays an important part in providing millions of individuals and families with access to essential healthcare services. From routine doctor visits and prenatal care, to preventive screenings, dental treatment, and even hospital stays, Medicaid ensures people get the care they need.
For those who qualify, enrolling in Medicaid can be life-changing. Yet, many people are unaware of their eligibility or may not know how to re-enroll if they’ve been disenrolled.
Below is information about Medicaid and how Legacy Community Health can help eligible patients enroll or re-enroll so they continue receiving the healthcare services they need, without interruption.
What is Medicaid?
Medicaid is a public insurance program that provides essential health coverage for low-income individuals and families across the United States. As the country’s largest source of health insurance, Medicaid covers over 70 million people nationwide, and is jointly run through a partnership between state and federal governments.
Medicaid is a cornerstone of healthcare in Texas, offering critical services to vulnerable groups such as pregnant and postpartum women, children, disabled individuals, and the elderly. It ensures that even the most economically challenged individuals can access necessary medical care without facing overwhelming financial burdens.
Who Qualifies for Medicaid?
To qualify for Medicaid, individuals and families must meet specific eligibility criteria. One criterion is income and assets. The amount varies depending on whether someone is single, married and applying jointly, or married with only one spouse applying.
Another criterion is the applicant’s legal status. Eligible backgrounds include being an American citizen, a lawful permanent resident (“Green Card” holder), an official asylee or refugee, or having some other qualified non-citizens status.
Financial Protection for Those In Need
One of the key benefits of Medicaid is the financial protection and peace-of-mind it provides. For many patients, it covers most or all of their medical expenses, meaning they have little to no out-of-pocket costs. Healthcare providers also can’t bill patients for the difference between the provider’s charge and the Medicaid-approved amount – called “no balance billing” – so beneficiaries are protected from unexpected costs.
Both of these things shield patients from the financial strain that often comes with unexpected healthcare costs and prevents them from spiraling into medical debt. This is especially important for low-income families, who are usually already struggling to make ends meet.
Legacy Community Health’s Support for Medicaid Patients
Legacy Community Health is dedicated to supporting Medicaid patients through every step of their healthcare journey. With over 90% of our patients living at or below the federal poverty line, and over 50% of our patients currently on Medicaid, ensuring they have access to affordable healthcare is critical.
We provide a wide range of services to meet their diverse needs. These include OB/GYN, Pediatrics, Adult Primary Care, and Senior Care, as well as Vaccinations & Immunizations, Dental and Vision Care, Behavioral Health, Pharmacy Services, and others.
We believe that comprehensive health care is a human right, not a privilege, so we open our doors to all, regardless of ability to pay.
What To Do If You’ve Been Disenrolled from Medicaid
During the pandemic, patients already on Medicaid continued to be enrolled in the program to ensure they received uninterrupted healthcare services during that period. This continuous enrollment ended in 2024 as states began unwinding pandemic-era policies that temporarily extended coverage.
Starting this year, eligible people who wanted to and were qualified to remain on Medicaid had to actively renew their enrollment. Those who were unaware they needed to renew or didn’t fully understand the renewal process were disenrolled on procedural grounds.
Yet losing healthcare coverage can have serious health implications. For patients managing chronic conditions, timely re-enrollment is important to ensure they don’t miss doctor appointments, treatments, or medications. For vulnerable patients like pregnant women, re-enrollment is critical so they can get the prenatal care, and postpartum care for up to 12 months after birth, to ensure their and their baby’s well-being.
Re-enrolling in Medicaid as soon as possible is important to ensure patients can again receive the preventive services and other medical care they need.
Legacy Community Health Can Help Patients Re-enroll in Medicaid
Legacy Community Health is available to guide patients through the re-enrollment process. Our Eligibility Specialists are trained professionals who can assist individuals with any questions they may have about their eligibility and help them with the application process. We are committed to making the re-enrollment process as easy and stress-free as possible for our patients.
Contact Legacy Community Health for Medicaid Re-enrollment Help
If you qualify for Medicaid but no longer have coverage, Legacy Community Health can help you re-enroll. We can also figure out if you newly qualify for Medicaid, even if you haven’t before. Ask for a Legacy Eligibility Specialist at the front desk of any of our clinics, or call us to be put in touch with a specialist who can walk you through the process and ensure your re-enrollment application is submitted with all the right information.
Medicaid application processing time can take a while, so don’t delay. We have dedicated professionals available to help patients navigate the Medicaid renewal process. Contact a Legacy Eligibility Specialist in person at one of our clinics or call us at (832) 548-5223.