KanCare is a Medicaid program in the state of Kansas that was established in 2013. It provides healthcare coverage to low-income families, elderly individuals, and individuals with disabilities. The program is administered by the Kansas Department of Health and Environment in partnership with three managed care organizations (MCOs) – Amerigroup, Sunflower Health Plan, and UnitedHealthcare Community Plan.
Who is Eligible for KanCare?
Eligibility for KanCare is primarily based on income and household size. Individuals and families whose income is at or below 138% of the federal poverty level (FPL) are eligible for the program. The FPL changes every year, but for 2021, the FPL for a single-person household is $12,880 and for a family of four, it is $26,500.
In addition to income and household size, eligibility for KanCare also depends on the applicant’s age, disability status, and residency status. Eligible individuals can apply for KanCare through the Kansas Department of Children and Families (DCF) or online through the KanCare website.
What Benefits Does KanCare Provide?
KanCare provides a comprehensive set of benefits that includes:
Medical Services |
Behavioral Health Services |
Dental Services |
Doctor visits |
Substance abuse treatment |
Preventive dental care |
Hospital stays |
Mental health services |
Restorative dental services |
Prescription drugs |
Therapy and counseling |
Oral surgery |
Diagnostic tests and X-rays |
Psychiatric services |
Orthodontic services (for children) |
In addition, KanCare provides vision care, hearing aids, medical equipment and supplies, transportation to medical appointments, and long-term care services for eligible individuals.
How Does KanCare Work?
Once an individual is determined eligible for KanCare, they will be enrolled in one of the three MCOs based on the county they live in. The MCO will then work with the individual’s healthcare provider to coordinate their care and provide the necessary services.
Individuals can choose to change their MCO at any time, and they can also choose their healthcare providers as long as they accept KanCare.
What is the Cost of KanCare?
KanCare is a low-cost or free program for eligible individuals. The program does not have a monthly premium, and most services are provided at no cost to the individual.
However, some services may require a small co-payment, such as prescription drugs, dental services, and certain medical equipment and supplies. The co-payment amount is determined based on the individual’s income and household size.
What are the Benefits of KanCare?
KanCare provides several benefits to eligible individuals, including:
- Access to comprehensive healthcare services
- Coordination of care between healthcare providers
- Low-cost or free healthcare coverage
- Choice of healthcare providers and MCOs
- Preventive care services to help individuals stay healthy
In addition, KanCare can help individuals save money on healthcare costs and avoid medical debt. It also provides peace of mind by ensuring that eligible individuals have access to the healthcare services they need.
FAQ
How do I apply for KanCare?
You can apply for KanCare online through the KanCare website or through the Kansas Department of Children and Families (DCF). You will need to provide information about your income, household size, age, disability status, and residency status.
How long does it take to get approved for KanCare?
The time it takes to get approved for KanCare varies depending on the individual’s circumstances. However, the KanCare website states that most applications are processed within 45 days.
What healthcare providers accept KanCare?
Most healthcare providers in Kansas accept KanCare. However, it is important to check with your healthcare provider before scheduling an appointment to ensure that they accept KanCare.
Can I change my MCO?
Yes, you can change your MCO at any time. You can do this by contacting the KanCare Enrollment Broker or by logging into your KanCare account online.
Do I need to renew my KanCare coverage?
Yes, you will need to renew your KanCare coverage every year. You will receive a renewal notice in the mail with instructions on how to renew your coverage.
Conclusion
KanCare is a Medicaid program in Kansas that provides low-cost or free healthcare coverage to eligible individuals. It offers comprehensive healthcare services, coordination of care between healthcare providers, and choice of healthcare providers and MCOs. Eligibility for the program is based on income, household size, age, disability status, and residency status. If you are eligible for KanCare, it can help you save money on healthcare costs and ensure that you have access to the healthcare services you need.
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