FAQs

 

Although we have worked with hundreds of SC families, helping them access our State’s free health insurance for their children, we know that each family’s situation is unique. The following list of questions broadly addresses some of the issues we’ve encountered, but may not address your concern. We would be happy to talk to you. Please call us at 888-998-4646 for more information.

Q: I work a full-time job. Could my children be eligible for Medicaid?
A: Most SC families whose children are covered by Medicaid are working families, but there’s not enough income to pay for health insurance, dependent coverage offered by the employer is too expensive, or dependent coverage isn’t even offered. Check out the income limits here for SC Healthy Connections Medicaid. 

Q: We just moved to South Carolina. Is the Medicaid we had in the other state valid in SC?
A: Because of the way Medicaid is funded, your Medicaid from another state is not valid here. You must reapply in SC. You will need a letter of closure from the other state before your eligibility for SC Healthy Connections Medicaid can be approved.

Q: I’m self-employed. Are my children eligible for Medicaid?
A: You must provide proof of your taxable income to be considered for Medicaid. This can be more challenging for a person who is self-employed. Call us at 888-998-4646 to be connected with someone in your community who can help you with the application process.

Q: My children are covered by private insurance through my employer. Can we still apply for Medicaid?
A: Yes, Medicaid is approved based on family income and resources. Once approved, you can choose to keep your private insurance as your primary insurer and use Medicaid as a secondary payment source, or to drop your private coverage (even outside of your employer’s open enrollment period) and use Medicaid as your primary.

Q: We own our own home. Can we apply for Medicaid for our children?
A: Yes, Medicaid eligibility is based on taxable income and family size. The value of assets such as rental property, heirs property, or the value of your 401(k) account are not counted as income unless they are counted as such on your Federal tax return.

Q: I’ve filled out the application for SC Healthy Connections Medicaid online. What else do I need?
A: You may need to provide proof of your taxable income if it has changed substantially from the income you reported on your most recent tax return. Otherwise, SC Healthy Connections will try to verify your stated income through other sources such as the Department of Employment and Workforce.

Q: I applied last year and wasn’t approved. Why should I try again?
A: The eligibility rules have changed rapidly and vastly over the last several years. Many barriers to eligibility have been removed, and income limits have been raised for parents, families, pregnant women, and children under 19 years old. Call us at 888-998-4646 to find out how the changes may affect your family.

Q: I’m confused about what documentation to submit with my application for SC Healthy Connections. Can anyone help me?
A: Call us at 888-998-4646. Most questions can be answered over the phone, or we can connect you with a volunteer in your community. You can also visit the SC Healthy Connections Medicaid office in your county or call SC Healthy Connections 1-888-549-0820.

Q: How can I be sure that my family’s information will be kept confidential?
A: Confidentiality is of the utmost importance to us. We require background checks for our staff and volunteers and a commitment to high standards of confidentiality. Additionally, all of the information you share with us is protected by the Health Insurance Portablity and Accountability Act (HIPAA).

Q: I have teenagers and they don’t go to the doctor as often as they did when they were younger. Should I apply for SC Healthy Connections?
A: All children up to age 19 who are enrolled in school are eligible to apply for SC Healthy Connections. Although teens may not visit the doctor as frequently as toddlers, they still need annual checkups and some immunizations and boosters. And, they may be driving!

Q: My children were covered by SC Healthy Connections Medicaid in the past. Do I still need to fill out the entire application?
A: Yes. SC Healthy Connections is valid for children for 12 months. If it’s not renewed before the end of the 12 month period, you may have to start the process over from the beginning.

Q: We completed an application at HealthCare.gov. It said that our children may be eligible for SC Healthy Connections Medicaid. What should we do now?
A: You can give your consent for HealthCare.gov to send your children’s application to SC Healthy Connections Medicaid. If you’ve already done that, then the agency has 45 days to provide an eligibility determination. Don’t assume because you haven’t heard anything, that your application was denied. You can call SC Healthy Connections Medicaid at 1-888-549-0820 to check on the status, or talk to one of our staff to help you with that process by calling 1-888-998-4646.

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