KanCare is the administrator for Kansas state Medicaid plans. Are you currently enrolled in KanCare or hoping to enroll soon? You’re not alone - about 14% of the Kansas population is enrolled in KanCare. Notably, that includes one out of every eight Kansas Medicare beneficiaries. If you have Medicare, you can have Medicaid, too! This guide can help you determine whether or not you qualify for Medicaid in Kansas and what benefits you are eligible for.
Click below to learn more about KS Medicaid:
The Kansas Medicaid program established three MCOs, or “Managed Care Organizations,” in 2013 as a way to better coordinate care for Medicaid recipients. Having a MCO prevents billing errors and helps ensure the highest quality of care.
You will be automatically assigned to an MCO but will be given the opportunity to pick one of the other options if you do not like yours. Once you are enrolled, you will receive an open enrollment packet each year about 30 days before your one-year KS Medicaid enrollment anniversary. This packet will explain your options and give you 60 days to keep your current plan or change into a new one. The three options are Aetna Better Health, Sunflower Health Plan, and UnitedHealthcare Community Plan. All three programs offer a different set of “bonus” health benefits that can set them apart from each other, but the most important difference between the three is the provider networks. Each plan works with a different set of providers, so you’ll want to make sure that the plan you choose works with the doctors you like best.
Aetna’s Kansas Medicaid Better Health MCO offers comprehensive health benefits for members, including almost any medically necessary healthcare services. Some of the “bonus” benefits from Aetna include transportation, dental, and vision.
Aetna Better Health offers not only full ambulance coverage, but also mileage reimbursement, lodging and meals, and rides to doctor visits for those who would not otherwise be able to get to the doctor. Transportation must be scheduled at least three days in advance and can be booked by calling Access 2 Care at 1-866-252-5634 (TTY 711). Aetna Better Health also offers comprehensive dental and vision benefits through SkyGen.
Additional plan incentives and benefits include:
Sunflower Health Plan
Aside from their comprehensive hospital, doctor, and speciality health service coverage, Sunflower Health Plan offers a lot of additional benefits like: up to three pairs of eyeglasses per year for kids (one for adults), six-month dental checkups, caregiver support, the “sunny’s kids club” wellness group for kids, non-emergency transportation to doctor’s visits, and even unlimited inbound texts from SafeLink Wireless.
Sunflower Health Plan offers reward dollars for healthy behaviors that can be placed into a “CentAccount Rewards Card” that can be used at CVS Pharmacy, Dollar General, Family Dollar, Fred’s, Meijer, Rite Aid Pharmacy, and Wal-Mart for items related to baby care, healthy groceries, over-the-counter medicines, and personal care items from this catalog. You can earn rewards* like:
*There may be some limitations.
UnitedHealthcare Community Plan
One of the biggest benefits of choosing the UnitedHealthcare Community Plan is the large network which includes hundreds of hospitals across the state of Kansas. This plan also offers:
All KS Medicaid programs must follow the preferred drug list. Doctors are asked to prescribe generic versions of prescriptions and to always select drugs from the preferred drug list. If another drug is needed, your doctor will need to request approval from Kansas Medicaid. Most people won’t have to pay for their drugs with Medicaid, but some people may face small copays. Our free prescription drug savings card may be able to help you save money on your out-of-pocket prescription costs.
OneCare Kansas is a new Medicaid option for Kansas Medicaid recipients with chronic conditions like diabetes, asthma, and mental illnesses. OneCare adds benefits to your preexisting KS Medicaid coverage like extra home care, social support groups, and extra care management. To join OneCare, you must enroll in KanCare.
Medikan is another Medicaid option for Kansas Medicaid recipients with physical or mental disabilities. Medikan is a 12-month only program for those who are ineligible for KS Medicaid but still require some assistance. To be eligible for Medikan, you must also apply for Social Security disability benefits. You will be alerted of your Medikan eligibility once you have completed your SSDI and KanCare applications. Call 1-800-792-4884 for more information about Medikan.
You may qualify for Kansas Medicaid if your income (compared to your family size) is at or below the following:
The best and easiest way to apply for Medicaid in Kansas is to create an account and complete the online KanCare application. You can also print and mail the application or call 800-792-4884. When you complete your application, you’ll need to gather your:
If you qualify for KanCare but also meet the requirements for Medicare, you can benefit from both programs. You can qualify for Medicare either by turning 65, entering your 25th month of Social Security Disability benefits, or receiving a diagnosis for either ALS or ESRD.
If you discover that you do qualify for both programs, you can enroll in a Dual-Eligible Special Needs Plan, a form of Medicare Advantage that is designed for people just like you and can cover most of your healthcare costs. If you aren’t sure whether or not you qualify, we can help you figure it out! Just click below to learn more, or go ahead and give us a call at 833-438-3676.
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