State Government Insurance Programs Offered

Kansas Health Insurance Association (KHIA)

: Prevention services, Inpatient hospital care, Therapies (physical, speech, occupational), oral surgery, Spinal manipulation, Maternity, Emergency room and ambulatory services, Durable medical equipment, Mental health and substance abuse, Nursing, Home health, and Prescription drugs. If prior health coverage had a lapse of 31 days or more, there will be a 90-day pre-existing condition exclusion in KHIA coverage

Medicaid

Medicaid: Office visits, Checkups, Immunizations, Inpatient and outpatient hospital services, Lab and x-ray, Prescription drugs, Eye doctor exams and glasses, Hearing services and speech, Physical and occupational therapy, Dental services for children (checkups, cleanings, sealants, x-rays and fillings), Inpatient and outpatient mental health services, and substance abuse services, Medical transportation.

HealthWave

All applications will be screened for Medicaid- eligibility first. Services include Office visits, Checkups, Immunizations, Inpatient and outpatient hospital services, Lab and x-ray, Prescription drugs, Eye doctor exams and glasses, Hearing services and speech, Physical and occupational therapy, Dental services for children (checkups, cleanings, sealants, x-rays and fillings), Inpatient and outpatient mental health and substance abuse services, and Medical transportation. Must be a U.S. citizen or qualifying resident and live in Kansas. Must be children ages 0–18 living at or below 241% FPL. Must not already be covered by comprehensive and reasonably accessible health insurance, or be eligible for Medicaid. Children whose parents have access to the State group health insurance plan are not eligible.

Children and Youth with Special Health Care Needs (CYSHCN)

Helps those at risk for disabilities or chronic disease. Diagnostic services limited to one-time evaluation to determine if medically eligible, with no income requirement, for youth under 22 years old. Services also include Outpatient medical specialty care, Hospitalizations, Surgery, Durable medical equipment and medications, Limited therapy (physical and occupational), Case management that develops health care plan for each patient. Outreach clinics do specialty diagnosis, consultation, and follow-along care as close to the child's home as possible. Services cover hearing loss, orthopedic conditions, neurological impairment, cardiac diseases, and genetic diseases, counseling and planning.

Medicare

Medicare offers Part A, inpatient care in hospitals and rehabilitative centers; Part B, doctor and some preventive services and outpatient care; Part C allows Medicare benefits through private insurance (Medicare Advantage); Part C includes Parts A, B, and C not covered by Medicare. Part D covers prescription drugs.