Request More Information on Washington D.C. Medicaid Coverage.
Understanding Medicare Special Needs Plans
Ultimate Guide to DC Medicaid
Medicaid is both a federal and state-funded program for individuals and families with low income. Eligibility and benefits can change slightly in each state. This guide can help you determine what you are eligible for if you live in D.C.
MTM (Medical Transportation Management) can bring Medicaid beneficiaries to covered medical appointments within the D.C. area. Make sure to request a ride at least three days before your scheduled appointment by calling 866-796-0601.
Additionally, MetroAccess can provide transportation for disabled people beginning at $2.50 per ride. For more information about MetroAccess, call 301-562-5360.
Washington Elderly and Handicapped Transportation Services (WEHTS) provides transportation on weekdays for elderly Washington D.C. residents. Eligible locations include medical appointments, dialysis treatments, public benefit offices (Medicaid, food stamps, Social Security, etc.), banks, etc. You can call them at 202-724-5626.
Finally, the “Call ‘N’ Ride” program provides discounted taxi services for residents over the age of 60. Eligible seniors will be given “coupons” for rides. For more information, call the ADRC (Aging and Disability Resource Center) at 202-724-5626.
Eligibility for D.C. medical assistance programs is based largely on your income level and household size. If you have low income and are unable to pay your medical bills, it may be worth applying to find out if you are eligible. Applying is the only way to know for sure.
If you don’t qualify for Medicaid but you live in Washington D.C. and need help with your medical bills, you may qualify for the DC Healthcare Alliance. The Alliance is a local program serving those who are not eligible for Medicare or Medicaid and have no other form of insurance.
To be eligible, you must be at least age 21 and have income below 200% of the Federal Poverty Level. You also cannot have resources worth more than $4,000 for a single person or $6,000 for a couple or family.
DC Alliance covers doctor visits, preventive care, prenatal care, prescription drugs, labs, medical supplies, and $1000 worth of dental services. It does not cover vision, mental health, non-emergency transportation, long-term care (more than 30 days), cosmetic surgery, open heart surgery, or transplants.
The easiest way to apply for D.C. Medicaid is by visiting the D.C. Health Link website and creating an account. You can also apply for D.C. Medicaid in person sat your local IMA (Income Maintenance Administration) Service Center.
DC Health Link Medicaid
You can use DC Health Link to view plan information and apply for assistance (including Medicaid). You can also use it to renew your Medicaid benefits every year. If you need help, you can call the Health Link customer service line at 855-532-5465.
DC Medicaid Office Locations
The following service centers can help you complete your D.C. Medicaid application and answer your questions:
Anacostia: 2100 Martin Luther King Avenue, SE (202-645-4614)
Congress Heights: 4049 South Capitol St., SW (202-645-4525)
Fort Davis: 3851 Alabama Avenue, SE (202-645-4500)
H Street: 645 H Street, NE (202-698-4350)
Taylor Street: 1207 Taylor Street, NW (202-576-8000)
If you qualify for Medicare based on your age or disability status, and you also qualify for D.C. Medicaid, you might qualify for a Dual-Eligible Medicare Advantage Special Needs Plan, or DSNP. DSNPs can provide coverage for additional services and often come at no or very little cost.
By providing the information above, I grant permission for Medicare Health Benefits Independent Broker, MedicarePlanFinder.com, and its affiliated agencies to contact me to discuss Medicare Advantage, Prescription Drug Plans, or Medicare Supplement products. Not affiliated with or endorsed by Medicare or any government agency.