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Medicaid in Buffalo NY

Friday, April 3, 2020

Medicaid is a vital health coverage program that provides benefits to millions of Americans who qualify as a result of low-income or resources. Medicaid is a federally and state funded program that’s administered by the state government according to specific federal requirements.

The program covers people of all ages including pregnant women, children, senior citizens, low-income adults, and people with disabilities and it provides benefits that are not typically covered by Medicare (such as long-term care or even personal care services). The program is free to U.S. citizens and non-citizens who qualify. According to research, Medicaid is a health insurance program that can improve recipients’ financial security, their access to health care, and even health outcomes in certain situations.

 

Applying for Medicaid in New York is a relatively straightforward process for individuals who are eligible for the program. Prospective applicants who are located in Buffalo or in Erie County, are lucky because the laws regarding Medicaid coverage are relatively liberal and the program covers all the essentials.

Also there are plenty of medical and transportation services available in Buffalo that cater to people on Medicaid coverage, so it’s easy to get from Point A to Point B and to receive medical care without having to worry about the cost. In Buffalo, NY there are even locations that you can visit to get face-to-face help with the Medicaid application process. Overall, applying for Medicaid in Erie County is simple if you’re eligible for the program and you understand the basic requirements that are necessary to qualify for it.

How do I apply for Medicaid in Buffalo NY? 

In Buffalo, NY, the primary location to visit if you want to apply for Medicaid in-person is the following address:

 

Erie County Work Center (Department of Social Services)

158 Pearl Street

Buffalo, NY 14202

 

The Erie County Work Center is open weekdays from 9am to 4pm and offers information about Medicaid as well as assistance with the Medicaid application process. For individuals under the age of 65 and who are not disabled, it’s possible to apply for Medicaid either online or in person. To apply online follow this link; https://nystateofhealth.ny.gov/.

 

The in-person application process for individuals over the age of 65 requires that the DOH-4220 form be completed. Remember that applicants are often required to sign up for a Managed Care plan at the time that they make their application, so if you’re not sure which Medicaid category you fit into or you want additional guidance with the application process, it might be wise to arrange an interview/meeting with a representative so that you can ask questions in person and receive the best information and advice that’s specific for your situation. In-person meetings are conducted at the Erie County Work Center.

 

Individuals in the following situations may be eligible to receive Medicaid coverage in Erie County, NY:

 

●       Families with an income of $23,550 or less per year (based off a household of 4 individuals)

●       Pregnant women (income requirement not relevant)

●       Children (income requirement not relevant)

●       Disabled people (income requirement not relevant)

●       Unemployed individuals and families (these individuals or families also generally have an income below the maximum level)

●       Seniors (people age 65+) with or without a medical condition

 

Medicaid eligibility is based on a variety of factors, but Medicaid coverage is primarily given to people who are unemployed, living below the poverty line, or who face a particular medical condition (or all of the above). If you’re not sure if you qualify for Medicaid, visit the Erie County Work Center and ask to speak to a representative for more information. Schedule an interview to determine for certain if you are eligible, and make sure to bring all the required documentation so that your representative can assist you as well as possible.

 

To apply for Medicaid in Buffalo, NY you will need the following documents:

 

●       Proof of age (birth certificate, driver’s license, passport, or other valid ID)

●       Proof of citizenship (or alien status)

●       Proof of income (make sure to include proof of ALL sources of income; this can include paystubs, tax returns, Social Security income, Veteran’s benefits, retirement account income, and any other forms of income you have)

●       Proof of assets (home ownership documents, bank statements, investment account information, etc.)

●       Proof of disability (OPTIONAL! Only include this if you are applying for Medicaid as a disabled individual. Otherwise this is not a necessary document.)

●       Proof of residence (rent receipts, recent mail sent to your address, or mortgage documentation)

●       Proof of other insurance (If you have other types of insurance when you apply for Medicaid, it’s important to make note of this in your application. Remember that this will not necessarily disqualify you from receiving Medicaid but full disclosure is necessary.)

 

When you turn in your Medicaid application it’s best to include as much information and documentation as possible so that you can adequately and accurately illustrate your situation to the officials who will review your application. The more thorough you are in your application, the more likely it is that you’ll receive the coverage that you need. Remember that you may be asked for extra documentation in certain situations.

What services does Medicaid provide for residents in Buffalo NY?

In Buffalo, New York, Medicaid provides a wide variety of services. The Managed Care Plan that’s available to Buffalo (Erie County) residents includes coverage of the regular Medicaid services including in-patient and ancillary services as well as primary and specialty services. Pharmacy and dental Medicaid services are also provided through New York State, though they’re provided separately from the Managed Care Plan.

 

Medicaid eligible individuals in Buffalo, NY are also eligible to receive CDPAP (Consumer Directed Personal Assistance Program). Below is a more complete list of the usual Medicaid-covered costs that Buffalo, NY residents receive.

 

●       Family planning

●       Short-term rehabilitation services

●       Lab tests and x-rays

●       Mental health, alcohol, and substance abuse treatment (when medically necessary)

●       Physician services (such as scheduled doctor’s visits)

●       Inpatient and outpatient health care

●       Vision, speech, and hearing care services

●       Radiation therapy and chemotherapy

●       Hemodialysis

●       Durable medical equipment

●       Emergency room and emergency ambulance services

 

Applicants may also visit the Erie County Work Center to apply for the Family Planning Benefits Program or the Medicare Savings Program. These programs can be applied for at the same time as Medicaid to receive additional benefits and coverage.

 

Please keep in mind that certain individuals in extenuating or unique circumstances may be eligible to receive coverage for certain other costs in addition to the ones listed. If you believe that you may be eligible for additional coverage of specific medications or services, contact the Buffalo, NY Medicaid office right away to speak to an advisor and learn more about what’s possible with Medicaid in Erie County.

Medicaid Transportation Companies Servicing Buffalo, NY

Medical Answering Service (MAS)

1-800-651-7040

Visit this page for more detailed contact information

 

Buffalo Medicaid Taxi

1-716-446-3623

Visit this page to send an email

 

Buffalo Transportation

1-716-877-5600

gary@buffalotrans.com

 

Liberty Yellow

(716) 877-7111

Make sure to request Liberty Yellow as your transportation provider

 

Aries Transportation

(716) 362-9701

info@ariestransportation.com

 

To arrange for transportation coverage with Medicaid, first call your insurance company to make sure that you are eligible for transportation on your current plan. If you are, then ask to be assigned to one of the companies listed above (or another company you wish to use). Transportation coverage on Medicaid is often provided for elderly or disabled individuals in particular, although certain other people in particular situations may also qualify to receive this coverage through Medicaid as well.

Doctors and Hospitals That Accept Medicaid in Buffalo, NY

 

AVP Primary Care in Buffalo, NY

6631 Main Street

Williamsville, NY 14221

(716) 428-5055

 

Limestone Primary Care Physicians LLP

18 Limestone Dr., Suite 5

Buffalo, NY 14221

(716) 632-1400

 

Elmwood Village Primary Care

897 Delaware Ave., Suite 205

Buffalo, NY 14209

(716) 768-2006

 

Trinity Medical Primary Care (Dr. Gianna McEvoy)

5879 Snyder Dr.

Lockport, NY 14094

(716) 458-1988

 

Kalmuk Primary Care Medicine

290 Center Road

Buffalo, NY 14224

(716) 608-6116

Location of Medicaid Offices in Buffalo

The primary Medicaid office location in Buffalo, NY is at the following address:

 

Erie County Work Center

158 Pearl Street

Buffalo, NY 14202

 

However, if you don’t want to visit the Erie County Department of Social Services or if you live far away, You can also visit one these locations for help with applying for Medicaid coverage:

 

Blue Cross Blue Shield (BCBS)

298 Main Street

Buffalo, NY 14202

(888) 630-2583

(800) 628-2777

 

Univera Healthcare

205 Park Club Lane

Buffalo, NY 14221

(716) 847-1480

 

Meritain Health

350 Main Street

Buffalo, NY 14202

(716) 849-4960

 

All of the above locations are qualified to give out application forms and conduct Medicaid interviews with potential Medicaid recipients. If you are already on Medicaid and need help or additional information about a particular aspect of the plan you’re currently on, feel free to visit one of these offices and speak to a representative to get personalized assistance.

 

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