Can I get Medicaid in Utah if I’m pregnant?
What are the eligibility rules for pregnant women to get Medicaid coverage in Utah?
In Utah, pregnant women can qualify for Medicaid coverage to help with prenatal care, labor, delivery, and postpartum services. The state offers special provisions for pregnant women to ensure they receive the healthcare they need during and after pregnancy. Here are the eligibility rules pregnant women must meet to qualify for Medicaid coverage in Utah.
1. Income Requirements for Pregnant Women
Pregnant women can qualify for Medicaid in Utah based on their household income in relation to the Federal Poverty Level (FPL). Utah Medicaid has higher income limits for pregnant women to ensure more people receive healthcare during pregnancy.
A. Income Limit
Pregnant women in Utah may qualify for Medicaid if their household income is up to 138% of the Federal Poverty Level (FPL).
Here is an example of the income limits for pregnant women based on household size for 2024:
Household Size138% of FPL (Annual Income)1$20,1202$27,2143$34,3074$41,400
If your income is at or below these limits, you are eligible for Medicaid coverage while pregnant.
2. Residency and Citizenship Requirements
In addition to income, pregnant women must meet the following residency and citizenship requirements to qualify for Medicaid in Utah:
A. Residency
You must be a resident of Utah to receive Medicaid benefits in the state.
Proof of Utah residency, such as a lease agreement or utility bill, may be required when applying.
B. Citizenship or Immigration Status
You must be a U.S. citizen or a qualified non-citizen to qualify for Medicaid. Qualified non-citizens, such as legal permanent residents (green card holders), may also be eligible.
3. Coverage Provided Under Medicaid for Pregnant Women
Pregnant women who qualify for Medicaid in Utah receive coverage for a wide range of prenatal, delivery, and postpartum services, including:
Prenatal care: Doctor’s visits, ultrasounds, and screenings throughout your pregnancy.
Labor and delivery: Full coverage for your hospital stay during childbirth.
Postpartum care: Coverage for follow-up doctor visits and services up to 60 days after delivery.
Prescriptions: Medications prescribed during pregnancy and after delivery.
Additional services: Mental health support, maternity counseling, and more.
4. Applying for Medicaid as a Pregnant Woman
To apply for Medicaid coverage as a pregnant woman in Utah, follow these steps:
Submit an application: Apply online at medicaid.utah.gov or through healthcare.gov. You can also apply in person at your local Department of Workforce Services office.
Provide proof of pregnancy: You may be asked to provide a medical confirmation of your pregnancy from your healthcare provider.
Submit income documentation: Provide proof of your household income, such as pay stubs or tax returns, to verify your eligibility.
5. Maintaining Medicaid Coverage After Pregnancy
Medicaid coverage for pregnant women extends through your pregnancy and continues for 60 days postpartum. After this period, you may still qualify for Medicaid under a different category if your income remains within the eligibility limits. It’s important to renew your Medicaid coverage or explore other options, such as CHIP for your baby or Medicaid for parents/caretakers, to ensure continued healthcare access.
Key Takeaways:
Pregnant women in Utah can qualify for Medicaid if their household income is up to 138% of the Federal Poverty Level (FPL).
You must be a resident of Utah and a U.S. citizen or qualified non-citizen to receive Medicaid coverage.
Medicaid covers a wide range of services for pregnant women, including prenatal care, labor and delivery, and postpartum care.
For assistance applying for Medicaid as a pregnant woman or determining if you qualify, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
