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Medicaid
Medicaid Spend-Down
A Medicaid spend-down lets people with too much income or assets qualify for Medicaid by using the excess on medical costs first.
Also known as
Share of cost
Medically needy
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Frequently asked questions about Medicaid Spend-Down
What is Medicaid Spend-Down?+
A Medicaid spend-down lets people with too much income or assets qualify for Medicaid by using the excess on medical costs first.
Who qualifies for Medicaid Spend-Down?+
Income-eligible adults, children, pregnant people, seniors, and people with disabilities. Income limits and rules vary by state.
How do I apply for Medicaid Spend-Down?+
Apply through your state Medicaid agency (find yours at medicaid.gov) or through healthcare.gov. Official forms and instructions: https://www.medicaid.gov/medicaid/eligibility/index.html.
Where can I get help?+
Apply through your state Medicaid agency (links at medicaid.gov) or use BenefitKarma's Find Benefits tool to see if you qualify in your state.