{"id":83847,"date":"2019-08-25T01:46:57","date_gmt":"2019-08-25T07:46:57","guid":{"rendered":"https:\/\/americanpregnancy.org\/uncategorized\/medicaid-for-pregnant-women\/"},"modified":"2026-05-14T08:33:09","modified_gmt":"2026-05-14T14:33:09","slug":"medicaid-for-pregnant-women","status":"publish","type":"post","link":"https:\/\/americanpregnancy.org\/es\/giving-birth\/medicaid-for-pregnant-women\/","title":{"rendered":"Medicaid para mujeres embarazadas"},"content":{"rendered":"<h2>\u00bfQu\u00e9 es el Medicaid para el embarazo?<\/h2>\n<p>Medicaid es un <a title=\"Seguro m\u00e9dico para mujeres embarazadas\" href=\"https:\/\/americanpregnancy.org\/es\/?p=85262\">programa de seguro m\u00e9dico<\/a> patrocinado por el gobierno para familias de bajos ingresos que no tienen seguro m\u00e9dico o tienen un seguro insuficiente. Todos los estados ofrecen Medicaid o un programa similar para ayudar a las mujeres embarazadas a recibir una atenci\u00f3n prenatal y posparto adecuada. Medicaid tambi\u00e9n ofrece seguro m\u00e9dico a personas mayores, ni\u00f1os y personas con discapacidades.  <\/p>\n<h3>\u00bfQui\u00e9n es elegible para Medicaid?<\/h3>\n<p>Las <a href=\"https:\/\/www.medicaid.gov\/medicaid\/eligibility\/index.html\">pautas generales de elegibilidad para Medicaid<\/a> las establece el Gobierno Federal; sin embargo, cada estado establece sus propios requisitos espec\u00edficos de elegibilidad y estos pueden variar de un estado a otro.<\/p>\n<p>Todos los estados est\u00e1n obligados a incluir a ciertos individuos o grupos de personas en su plan de Medicaid.<\/p>\n<p><strong>Los grupos de elegibilidad estatal son:<\/strong><\/p>\n<ul>\n<li>Necesitados por categor\u00eda<\/li>\n<li>Necesitados por razones m\u00e9dicas<\/li>\n<li>Grupos especiales<\/li>\n<\/ul>\n<p>En el grupo de \u00abnecesitados por categor\u00eda\u00bb, se cubrir\u00e1 a las mujeres embarazadas cuyo nivel de ingresos sea igual o inferior al 133% del Nivel Federal de Pobreza. (Consulte con su oficina de Medicaid para averiguar cu\u00e1l es esta cifra en su estado). <\/p>\n<p>En el grupo de \u00abnecesitados por razones m\u00e9dicas\u00bb, se cubrir\u00e1 a una mujer embarazada que gane demasiado dinero para calificar en el grupo de \u00abnecesitados por categor\u00eda\u00bb. Esto significa que las mujeres a las que se les haya denegado Medicaid anteriormente podr\u00edan calificar ahora. (Esto tambi\u00e9n se denomina elegibilidad ampliada).  <\/p>\n<h3>\u00bfC\u00f3mo califico para Medicaid?<\/h3>\n<p><strong>Deber\u00e1 ponerse en contacto con su oficina local de Medicaid para averiguar qu\u00e9 documentaci\u00f3n requieren para la calificaci\u00f3n, pero la mayor\u00eda de las oficinas solicitan lo siguiente:<\/strong><\/p>\n<ul>\n<li>Prueba de embarazo<\/li>\n<li>Prueba de ciudadan\u00eda, si es residente legal de los EE. UU. (y documentaci\u00f3n de identificaci\u00f3n como un certificado de nacimiento o una tarjeta de seguro social)<\/li>\n<li>Prueba de no ciudadan\u00eda si no es residente de los EE. UU.<\/li>\n<li>Prueba de ingresos<\/li>\n<\/ul>\n<h3>\u00bfQu\u00e9 beneficios ofrece el Medicaid para el embarazo?<\/h3>\n<p>Al igual que otros programas de asistencia sanitaria, Medicaid no paga beneficios monetarios directamente a los participantes cubiertos. Ciertos proveedores e instalaciones de atenci\u00f3n m\u00e9dica tienen un contrato con Medicaid para tratar a quienes est\u00e1n cubiertos por el seguro de Medicaid. <\/p>\n<p>Al recibir los beneficios de Medicaid, se le debe entregar una lista de proveedores m\u00e9dicos que aceptan Medicaid o una direcci\u00f3n de un sitio web para buscar un proveedor en su \u00e1rea. Siempre que reciba atenci\u00f3n de un proveedor de Medicaid, sus gastos de atenci\u00f3n m\u00e9dica se enviar\u00e1n a trav\u00e9s de Medicaid y estar\u00e1n cubiertos (de acuerdo con ciertas regulaciones y pautas de Medicaid).<br \/>\nLas mujeres embarazadas est\u00e1n cubiertas para toda la atenci\u00f3n relacionada con el embarazo, el parto y cualquier complicaci\u00f3n que pueda ocurrir durante el embarazo y hasta 60 d\u00edas despu\u00e9s del parto.  <\/p>\n<p>Adem\u00e1s, las mujeres embarazadas tambi\u00e9n pueden calificar para la atenci\u00f3n recibida por su embarazo antes de solicitar y recibir Medicaid. Algunos estados denominan a esto \u00abElegibilidad Presuntiva\u00bb y se implement\u00f3 para que todas las mujeres comenzaran la atenci\u00f3n prenatal necesaria lo antes posible durante el embarazo. <\/p>\n<p>Hable con su oficina local para averiguar si califica para la elegibilidad presuntiva.<\/p>\n<p>Las mujeres embarazadas suelen tener prioridad a la hora de determinar la elegibilidad para Medicaid. La mayor\u00eda de las oficinas intentan calificar a una mujer embarazada en un plazo de 2 a 4 semanas. Si necesita tratamiento m\u00e9dico antes de ese plazo, hable con su oficina local sobre una tarjeta temporal.  <\/p>\n<h3>\u00bfC\u00f3mo puedo determinar si califico para Medicaid?<\/h3>\n<p>Calificar para Medicaid no es tan sencillo como calificar para la mayor\u00eda de los dem\u00e1s programas gubernamentales. La mayor\u00eda de los programas gubernamentales tienen algunos requisitos b\u00e1sicos junto con pautas de ingresos muy claras para ayudar a las personas a saber si califican.<br \/>\nPero Medicaid tiene muchas formas en las que alguien puede calificar y, aunque los ingresos forman parte de los requisitos de elegibilidad, no se basan \u00fanicamente en eso. Incluso las personas con los ingresos m\u00e1s bajos pueden no calificar para Medicaid si no pertenecen a uno de los grupos de Medicaid.  <\/p>\n<p>Y las personas que tienen ingresos de rango medio pueden calificar si encajan en uno de los grupos de calificaci\u00f3n y pueden recurrir a opciones como el \u00abcosto compartido\u00bb (que funciona como un deducible antes de que comience la cobertura total).<\/p>\n<p>Si est\u00e1 embarazada y no tiene seguro, p\u00f3ngase en contacto con su oficina local de Medicaid para averiguar si Medicaid es la opci\u00f3n adecuada para usted.<\/p>\n<p class=\"citation-date\"><!--more--><\/p>\n<hr>\n<p class=\"citation-heading\">Recopilado utilizando informaci\u00f3n de las siguientes fuentes:<\/p>\n<p class=\"citation-source\">1. Informaci\u00f3n del Gobierno de los EE. UU.<\/p>\n<p class=\"citation-url\">https:\/\/usgovinfo.about.com\/<\/p>\n<p class=\"citation-source\">2. Centros de Servicios de Medicaid y Medicare<\/p>\n<p class=\"citation-url\"><a title=\"Centros de Servicios de Medicaid y Medicare\" href=\"https:\/\/www.cms.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.cms.gov<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es el Medicaid para el embarazo? Medicaid es un programa de seguro m\u00e9dico patrocinado por el gobierno para familias de bajos ingresos que no tienen seguro m\u00e9dico o tienen un seguro insuficiente. Todos los estados ofrecen Medicaid o un programa similar para ayudar a las mujeres embarazadas a recibir una atenci\u00f3n prenatal y posparto [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":83848,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8601,8609],"tags":[],"faq-categories":[8401],"class_list":["post-83847","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-giving-birth","category-plan-de-parto","faq-categories-no-faq"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medicaid para mujeres embarazadas: Datos de recursos expertos | APA<\/title>\n<meta name=\"description\" content=\"Acceda a la cobertura de atenci\u00f3n m\u00e9dica prenatal. 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