Certified Application Counselor Practice Test

Which of the following is not covered by Medicaid?

1. Emergency services

2. Elective procedures

3. Pediatric services

4. Inpatient hospital services

The correct answer is: Elective procedures

Medicaid is a government program designed to assist with medical costs for individuals and families with low income. It typically covers a wide range of health services for its beneficiaries. Emergency services are covered by Medicaid, as they are essential and life-saving when an individual faces a medical emergency. Pediatric services are also covered, ensuring that children have access to necessary healthcare, including vaccinations and check-ups. Similarly, inpatient hospital services are included under Medicaid, providing coverage for necessary hospital stays during serious medical events. Elective procedures, on the other hand, are generally not covered by Medicaid. These are non-emergency procedures that individuals choose to undergo, often for cosmetic or personal reasons rather than medical necessity. Since Medicaid is primarily aimed at covering necessary healthcare to keep individuals healthy, elective procedures fall outside of the scope of coverage. Therefore, this is why selecting elective procedures as the answer highlights an understanding of Medicaid’s coverage limitations.