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Medicaid Share of Cost

Individuals who are not eligible for "full" Medicaid because their income or assets are over the Medicaid program limits may qualify for the Medically Needy program. Individuals enrolled in Medically Needy must have a certain amount of medical bills each month before Medicaid can be approved. This is referred to as a "share of cost" and varies depending on the household's size and income.
 

What is Medicaid Share of Cost ?

A Medicaid program for people who have too much income or assets are over the limits for Medicaid, Some people call it the “share of cost” program. The Department of Children & Families (DCF) determines eligibility for the Medicaid Share of Cost Program.

A share of cost is the amount of medical bills that you must owe or have paid before Medicaid can pay any of your current unpaid medical bills. Your share of cost is based on your family’s monthly income. If we estimate your share of cost based on your statement of your monthly income, the income must be verified before Medicaid can pay any bills. The share of cost may change when your income changes.

How does the Medicaid Share of Cost work ?

Each month certain medical expenses you owe or have paid in the last 3 months are counted toward your share of cost. When your allowable medical expenses are equal to your share of cost, you are eligible for Medicaid for the rest of that month.

Here is an example: Your share of cost is $800. You go to the hospital on May 10 and send us the bill for $1000. You have met the share of cost and are Medicaid eligible from may 10th through May 31. Medicaid will pay the $1000 medical bill.

Some examples of medical expenses that can be used to meet the Medicaid Share of Cost . 

  • Unpaid medical bills you owe that have not been used to meet your share of cost before
  • Medical bills you paid within the last 3 months.
  • Medical bills that will not be paid by health insurance or any other source.
  • Health insurance premiums
  • Co-payments for medical bills.
  • Medical services prescribed by a doctor.
  • Transportation by ambulance, bus or taxi to get medical care.

 

Some examples of medical expenses that cannot be used to meet the Medicaid Share of Cost .

  • Premiums for insurance policies that pay you money when you are in the hospital or the payment is not intended to pay for medical expenses.
  • First aid supplies and over the counter supplies such as adhesive bandages, alcohol, cold remedies, etc.

 

Whose medical expenses can be used to meet the Medicaid Share of Cost ?. 

Any family member whose income is counted, even if the person is not eligible for Medicaid.

 

What to do when you meet the Medicaid Share of Cost .

Provide proof of medical expenses to a  DCF ACCESS office by fax, mail or in person. Include:

  • Your name and case number.
  • The amount of the expense.
  • The date the expense was incurred and
  • The date and amount of any payments that you have made for the expense.

Examples of proof you can provide:

  • Medical bills you have received.
  • Receipts for paid medical bills and
  • Cancelled checks for paid medical bills.

 

If you have questions about the Medicaid Share of Cost Program, want to see a list of our service centers, fax numbers or to apply for benefits, visit our website: www.dcf.state.fl.us/ess/

New Life Medical Institute, Inc. is a state of the art walk in medical clinic staffed by board certified Physicians. The center are licensed by the Florida State Department of Health and accept Medicaid, Medicare, and most other insurance plans.

Our goal at New Life Medical Institute, Inc.  is to provide, quality, convenient, comforting medical care in a state-of-the-art facility without the long waits and impersonal service associated with hospital emergency rooms. 

We offer medical diagnosis and care, information and health education, and wellness for all ages. New Life have physicians in general medicine, gynecology, surgery, dermatology, psychology, and psychiatry.  We offer ultrasound, x-ray, laboratory, physical therapy, group psychotherapy, vaccine, injectables , and many other services.

We are particularly attentive to children, women, seniors, and managing chronic illnesses such as asthma, diabetes, hypertension, hepatitis, and HIV.

New Life Medical Institute, Inc.  offers extended evening and weekend hours,  no appointment is necessary in most cases and  Free transportation to all of our patients. 

medicaid share of cost

Medicaid Share of Cost

Individuals who are not eligible for "full" Medicaid because their income or assets are over the Medicaid program limits may qualify for the Medically Needy program. Individuals enrolled in Medically Needy must have a certain amount of medical bills each month before Medicaid can be approved. This is referred to as a "share of cost" and varies depending on the household's size and income.
 

What is Medicaid Share of Cost ?

A Medicaid program for people who have too much income or assets are over the limits for Medicaid, Some people call it the “share of cost” program. The Department of Children & Families (DCF) determines eligibility for the Medicaid Share of Cost Program.

A share of cost is the amount of medical bills that you must owe or have paid before Medicaid can pay any of your current unpaid medical bills. Your share of cost is based on your family’s monthly income. If we estimate your share of cost based on your statement of your monthly income, the income must be verified before Medicaid can pay any bills. The share of cost may change when your income changes.

How does the Medicaid Share of Cost work ?

Each month certain medical expenses you owe or have paid in the last 3 months are counted toward your share of cost. When your allowable medical expenses are equal to your share of cost, you are eligible for Medicaid for the rest of that month.

Here is an example: Your share of cost is $800. You go to the hospital on May 10 and send us the bill for $1000. You have met the share of cost and are Medicaid eligible from may 10th through May 31. Medicaid will pay the $1000 medical bill.

Some examples of medical expenses that can be used to meet the Medicaid Share of Cost . 

  • Unpaid medical bills you owe that have not been used to meet your share of cost before
  • Medical bills you paid within the last 3 months.
  • Medical bills that will not be paid by health insurance or any other source.
  • Health insurance premiums
  • Co-payments for medical bills.
  • Medical services prescribed by a doctor.
  • Transportation by ambulance, bus or taxi to get medical care.

Some examples of medical expenses that cannot be used to meet the Medicaid Share of Cost .

  • Premiums for insurance policies that pay you money when you are in the hospital or the payment is not intended to pay for medical expenses.
  • First aid supplies and over the counter supplies such as adhesive bandages, alcohol, cold remedies, etc.

Whose medical expenses can be used to meet the Medicaid Share of Cost ?. 

Any family member whose income is counted, even if the person is not eligible for Medicaid.

What to do when you meet the Medicaid Share of Cost .

Provide proof of medical expenses to a  DCF ACCESS office by fax, mail or in person. Include:

  • Your name and case number.
  • The amount of the expense.
  • The date the expense was incurred and
  • The date and amount of any payments that you have made for the expense.

Examples of proof you can provide:

  • Medical bills you have received.
  • Receipts for paid medical bills and
  • Cancelled checks for paid medical bills.

If you have questions about the Medicaid Share of Cost Program, want to see a list of our service centers, fax numbers or to apply for benefits, visit our website: www.dcf.state.fl.us/ess/

New Life Medical Institute, Inc. is a state of the art walk in medical clinic staffed by board certified Physicians. The center are licensed by the Florida State Department of Health and accept Medicaid, Medicare, and most other insurance plans.

Our goal at New Life Medical Institute, Inc.  is to provide, quality, convenient, comforting medical care in a state-of-the-art facility without the long waits and impersonal service associated with hospital emergency rooms. 

We offer medical diagnosis and care, information and health education, and wellness for all ages. New Life have physicians in general medicine, gynecology, surgery, dermatology, psychology, and psychiatry.  We offer ultrasound, x-ray, laboratory, physical therapy, group psychotherapy, vaccine, injectables , and many other services.

We are particularly attentive to children, women, seniors, and managing chronic illnesses such as asthma, diabetes, hypertension, hepatitis, and HIV.

New Life Medical Institute, Inc.  offers extended evening and weekend hours,  no appointment is necessary in most cases and  Free transportation to all of our patients. 

medicaid share of cost

Medical Service

New Life Medical Institute, Inc. is a state-of-the-art walk in medical clinic staffed by board-certified Physicians.

The Medical Director of New Life Medical Institute, Inc.  is Dr. Esmildo E. Machado , a Physician with more than 30 years experience treating children and adult patients inMiami,FL.  He is fully licensed in the State of Florida as a medical doctor. 

Our goal at New Life Medical Institute, Inc.  is to provide, quality, convenient, comforting medical care in a state-of-the-art facility without the long waits and impersonal service associated with hospital emergency rooms. 

We have physicians in general medicine, gynecology, surgery, dermatology, psychology, and psychiatry.  We offer ultrasound, x-ray, laboratory, physical therapy, group psychotherapy, vaccine, injectables, and many other services.

We offer free transportation to all of our patients.

New Life Medical Institute, Inc.  offers extended evening and weekend hours, and no appointment is necessary in most cases. Just come on in ... our professional, friendly staff is ready to care for you now.

 

 

   

Cardiology  

 

Dr. Francisco Palacios M.D

 
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Miami, FL 33129
  
         
   

Podiatry

 

Southernmost Foot/Ankle Specialist

 
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Pediatrics  

 

Dr. Alfredo Machado M.D

 
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Surgery 

 

Dr.  Alberto L. Demarchena M.D

 
861 SW 8 ST
Miami, FL 33130
  
         
   

Diagnostic Center  

 

De la Pedraja Radiology Center

 
4776 SW 8 ST
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Gastroenterology 

 

Dr. Felix J. Gonzalez M.D

 
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Medical Doctor

 
 

Dr. Esmildo Machado M.D

 
861 SW 8 ST
Miami, FL 33130
  
 

Medical Doctor

 

Dr. Mario Laplume M.D

 
861 SW 8 ST
Miami, FL 33130
  
    

Medical Doctor

 

Dr. Odalys Gonzalez M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Arturo Perez M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Blanca Soe Rodriguez M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Dania Gomez M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Angel D'Armendi M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Jose B. Tellez  P.A

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Jorge T. Caso M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Medical Doctor

 

Dr. Ellington Dickson P.A

 
861 SW 8 ST
Miami, FL 33130
  
   

Psychiatry

 

Dr. Jose M. Valdivia M.D

 
861 SW 8 ST
Miami, FL 33130
  
   

Psychology

 

Dr. Xiomara Lara L.M.H.C

 
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adult day careAdult Day Care in Miami

New Life provide adult day care services a place where someone requiring supervision can spend the day and have the opportunity to socialize and receive medical care.

The New Life Adult Day Care service allows individuals to live at home and enjoy a social network that can eliminate feelings of isolation. It can also reduce the stress that family, friends and caregivers may experience in managing an individual’s needs.

 

 

 

Eligibility

Individuals who qualify for this program may be:

adult day careChronically ill
adult day care “At risk” with disabilities
adult day careIn need of comprehensive medical and rehabilitation services
adult day careLiving in the community either alone or with caregivers

Participants must have a medical diagnosis requiring skilled services, such as rehabilitative therapy or nursing care. Participants must also be residents of Miami-Dade County and be at least 18 years of age.

Services

The New Life Adult Day Care Program provides all of the services that you would find in a nursing home: 

adult day care physical, occupational and speech therapy
adult day care  nursing care and audiology services
adult day care nutritional and health counseling
adult day care social services/case management (i.e. referrals to specialists)
adult day care Share in stimulating recreational activities
adult day careHave an opportunity to interact socially with peers
adult day careEnjoy Latin-inspired home cooked meals
adult day careReceive assistance with medication, physical or speech therapy if needed
adult day careReceive assistance with the activities of daily living with dignity

Members can expect to be at the center on their scheduled days for five hours. Transportation arrangements are coordinated by the program staff.

Members receive the services ordered by their physician in a structured setting. Nursing assessments and health education are ongoing, and age-appropriate recreational activities are scheduled daily. Members are served a nutritionally balanced mid-day meal.

Adult Day Care on AginCare     Adult Day Care on CareCompare     Adult Day Care on New LifeStyles

 

 

 

 
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Get Directions

Our Address

New Life Medical Institute, Inc
861 SW 8th St Miami, FL 33130
Tel:  305.857.9800
    

Office Hours

Monday to Friday
8:00 am to 5:00 pm
Saturday (1st & 3rd Monthly) 
8:00 am to 5:00 pm    

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