Florida Medicaid is the state and federal partnership that provides health coverage for selected categories of people in Florida with low incomes. Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children.

Program NameFlorida Medicaid
Expanded MedicaidNo
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Appeal a DenialMedicaid Fair Hearings
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Eligibility Requirements

To be eligible for Florida Medicaid, you must be a resident of the state of Florida, 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)

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Assistive care servicesHospital services
Behavioral servicesLaboratory services
Birth center and midwife servicesNeurology
Cardiovascular servicesOrthopedic services
Chiropractic servicesPain management services
Dental servicesPodiatry services
Dialysis servicesPrescribed drug services
Durable medical equipment and suppliesRadiology  services
Family planning servicesTherapy services
Hearing servicesTransplant services
Home health servicesTransportation services
Hospice servicesVisual care services


Hospital outpatient services$3 for each hospital outpatient visit
Physician services$2 for each visit
Prescription drugs2.5% of Medicaid cost (max $7.50 each)

Copays are not charged for the following:

  • Children under age 21
  • Pregnant women up to 6 weeks after delivery
  • Any individual who is enrolled in a Medicaid prepaid health plan or HMO