Alabama Medicaid
Updated April 9, 2021 Medicaid
Alabama Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars. It is the largest program providing medical and health-related services to Alabama's poorest people – including children, the aged, blind, and/or disabled, and people who are eligible to receive federally assisted income maintenance payments.
| Program Name | Alabama Medicaid |
| Expanded Medicaid | No |
| Website | medicaid.alabama.gov |
| medicaid.alabama.gov/Contact.aspx | |
| Phone | 334-242-5000 |
| Apply Online | https://insurealabama.adph.state.al.us |
| Appeal a Denial | https://medicaid.alabama.gov/Contact.aspx |
| Find a Local Office | Medicaid Office Locations |
Eligibility Requirements
To be eligible for this Medicaid program, you must be a resident of the state of Alabama, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
| Ambulance services | Maternity services |
| Dental services (for children) | Mental health services |
| Doctor services | Nurse midwife services |
| Eye care services | Nursing home care services |
| Family planning services | Out-of-state services |
| Hearing services (for children) | Prescription drugs |
| Home health services | Renal dialysis services |
| Hospice services | Transplant services |
| Hospital services | Transportation services |
| Laboratory and X-ray services | Well-child checkup program |
Copayments
| Doctor visits | $1.30 to $3.90 for each visit |
| Optometric (eye care) services | $1.30 to $3.90 for each visit |
| Certified nurse practitioner visits | $1.30 to $3.90 for each visit |
| Health care center visits | $3.90 for each visit |
| Rural health clinic visits | $3.90 for each visit |
| Inpatient hospital | $50 for each admission |
| Outpatient hospital | $3.90 for each visit |
| Prescription drugs | 65¢ to $3.90 for each prescription |
| Medical equipment | $1.30 to $3.90 for each item |
| Supplies and appliances | 65¢ to $3.90 for each item |
| Ambulatory surgical centers | $3.90 for each visit |
You do not have to pay a copayment if you are a Medicaid recipient who is:
- In a nursing home
- Under 18 years of age
- Receiving pregnancy-related services
- Receiving family planning services
- A Native American Indian with an active user letter from Indian Health Services (IHS)
- The following services do not require a copayment:
- Birth control (family planning) services
- Case management services
- Chemotherapy
- Dental services for children under 21 years of age
- Doctor fees if surgery was done in the doctor’s office
- Doctor visits if you are in a hospital or a nursing home
- Emergencies
- Home and community services for people who are intellectually
- Disabled, or the elderly and physically disabled
- Home health care services
- Mental health and substance abuse treatment services
- Preventive health education services
- Physical therapy in a hospital outpatient setting
- Radiation treatments
- Renal dialysis treatments
