How do homeless people afford healthcare?

Asked by: Prof. Amparo Pollich  |  Last update: December 10, 2025
Score: 4.1/5 (7 votes)

Medicaid is an important avenue for individuals and families who experience homelessness to secure basic health care services.

How do homeless people pay for Medi-Cal care?

Federally funded Health Care for the Homeless (HCH) projects provide primary care without regard to one's ability to pay, but these health centers reach less than a million out of the three to four million homeless individuals annually who desperately need care.

How do poor people afford Medi-Cal care?

If you are legitimately and officially poor, you typically qualify for Medicaid. As a result, you don't pay your medical bills. They are paid for you via taxation.

Where do homeless people go when they are sick?

Accessing Health Care in Your Community

The National Healthcare for the Homeless Council offers a searchable state list of health care providers that serve people experiencing homelessness. The National Association of Free and Charitable Clinics offers a national map of health providers that offer free care.

Why is the cost of healthcare for the homeless so expensive?

Approximately half of the cost of hospital stays for the homeless relates to mental health (excluding substance misuse), compared with 8–9% in the comparison group. This high share of cost is due, in both groups, to a high average length of stay for the mental health category – 30 days.

Low Income, Homeless Not Sure About Health Care Reform

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What happens to hospital bills for homeless people?

Gavin Newsom's administration standardized payment for street medicine through California's Medicaid program, called Medi-Cal.

Can homeless people get Medicare?

Community clinics and public city hospitals provide primary care (preventive care) for homeless people and others without insurance. There are social workers at these facilities who can help you fill out Medicaid and/or Medicare applications.

Why is it hard for homeless people to get healthcare?

The provision of mental health services to homeless people is made difficult primarily by the lack of appropriate facilities and resources and by their extreme poverty, their lack of insight into their psychiatric problems, their distaste for psychiatric treatment, and the complexities of their service needs.

What to do if you're homeless with no money?

Contact an organization in your local community who can help. Local agencies provide a range of services, including food, housing, health, and safety. Contact a national hotline or locate an organization near you. If you are experiencing a life-threatening emergency, please dial 911.

Can homeless people go to the hospital in the US?

Federal law requires that hospitals treat anyone who enters an emergency department. But hospitals are designed to swiftly treat immediate emergencies – not to address the ongoing complexities of homeless patients' lives and how those complexities impact their health.

What happens if someone Cannot afford healthcare?

The Affordable Care Act (ACA) created government subsidies to help low- and middle-income people pay for health insurance. They help offset the cost of monthly plan premiums, coinsurance or copays and deductibles. There are two types of subsidies – premium tax credits and cost-sharing.

What do poor people do for health insurance?

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Some states expanded their Medicaid programs to cover all people below certain income levels.

What if I need surgery but can't afford my deductible?

In cases like this, we recommend contacting your insurance, surgeon, or hospital and asking if they can help you with a payment plan. Remember that your surgery provider wants to get paid so they may be very willing to work with you on a payment plan.

How to get insurance if homeless?

Catastrophic coverage is available to consumers under age 30 or people of any age with an affordability or hardship exemption. Experiencing homelessness is a hardship category. To apply for an exemption, a consumer can use the hardship exemption form at HealthCare.gov/exemption-form-instructions.

How much does California pay homeless people a month?

A family of four or less people can get $65 per day for up to 16 days in a row to meet temporary shelter needs while you are looking for a permanent place to live. If there are more than four aided people, your family can get $15 more for each aided person in the family up to $125 per day.

Why do homeless people refuse shelter?

Preference for more freedom and independence: Homeless people are like anyone else: they value freedom, independence, and self-sufficiency. Some individuals feel that going to a shelter would reduce their ability to enjoy those qualities and make them more dependent.

Does living in a hotel count as homeless?

If you are staying in a hotel, motel, camping ground, car, or any place outside/not meant for human habitation, your living situation meets the McKinney-Vento Act's definition of homelessness.

What state helps the homeless the most?

According to the report, the top 10 states that help homeless people the most are:
  • Connecticut.
  • Illinois.
  • North Dakota.
  • Maryland.
  • New York.
  • Indiana.
  • Massachusetts.
  • Minnesota.

Does the US government give money to the homeless?

The US government provides significant funding for homelessness through various programs. The Department of Housing and Urban Development (HUD) offers programs like the Continuum of Care (CoC), Emergency Solutions Grants (ESG), and the Housing Opportunities for Persons With AIDS (HOPWA) program.

Do homeless people get free healthcare in the US?

It depends on their income level. All people below a certain income level qualify for a health insurance program called Medicaid in most of the United States. In my area, many homeless people qualify.

How much does homeless healthcare cost?

On average, homeless people spend 3 nights per visit in the hospital, which can cost more than $90002. According to Margot Kushel, MD, Associate Professor of Medicine, University of California, San Francisco, “Homeless people have higher rates of chronic health problems than the general or poverty population.

Why is it hard for a homeless person to get a job?

Lack of stable housing and transportation: Homeless individuals often lack stable housing, which can make it difficult to maintain consistent employment. Without a stable address, it can be difficult to secure a job, as employers often require an address to contact potential employees.

What do people do if they can't afford Medicare?

Call or visit your State Medical Assistance (Medicaid) office for information on Medicaid, Medicare Savings Programs, and Extra Help. Call if you think you qualify for any of these programs, even if you aren't sure.

Can Medicaid pay for rent?

However, Medicaid cannot pay for rent or for room and board, except in certain medical institutions (CMS 2021a).

Do homeless people get Social Security benefits?

If you are homeless, you may receive up to the maximum SSI amount payable in your state. In addition, if you are receiving SSI benefits, you may be able to receive subsidized housing. If you live in a public shelter, you can receive SSI benefits for up to 6 months out of any 9 months that you live there.