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Eligibility

Elderly woman sitting in chair with legs crossed in front of a window

To be eligible for Mercy LIFE, a person must be aged 55 or older, certified by the state to need nursing home care, and live in the Mercy LIFE service area. If a Mercy LIFE enrollee does at some point need nursing home care, LIFE continues to coordinate the enrollee's care. Program participants can remove themselves from the program and resume their benefits in Medicare and Medicaid programs at any time.

  • Must be 55 years of age or older
  • Must have health problems that qualify for nursing home care
  • Must live in an area serviced by Mercy LIFE
  • Must be able to live safely at home with the support of LIFE
  • What you pay for Mercy LIFE depends on your eligibility under Medicare and Medicaid. 
  • If you are eligible for Medicaid, or dually eligible for both Medicare and Medicaid, you won't pay a monthly premium for Mercy LIFE. 
  • If you don't qualify for Medicaid, but you have Medicare, you'll be charged a monthly premium for Mercy LIFE. 
  • There's no deductible or copayment for any drug, service, or care approved by your health care team. 
  • If you don't have Medicare or Medicaid, you can pay for Mercy LIFE privately.
  • If your care plan calls for a move to a Long-Term Care Facility/Nursing Home or an Assisted Living Facility, the Participant may have a cost liability.

Information Last Updated: Tuesday July 2nd, 2019 14:23:40

H4074_MLOA_Website_CMSAPPROVED_06/12/2019

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