QUEST Financial Responsibility for Support
Spouses and parents of minor children living together are responsible to support the family. Adult children are not responsible to support their parents, even if they live together.
Individuals subject to the asset test are not eligible if their countable assets exceed the asset standard. Pregnant women and children under age 19 are not subject to the asset test. Countable assets include cash, bank accounts, stocks, bonds, real property and other personal property. Exempt assets include the home property, motor vehicles, clothing and household furnishing and appliances. The asset standard is $2,000 for a household of one, $3000 for two, and $250 for each additional family member.
Individuals must have countable income within the appropriate income standard. Countable income includes wages, earning from self employment, retirement pensions, unemployment insurance benefits, Social Security benefits, annuities, interest, royalties, etc. Exempt income includes SSI benefits, welfare payments, food stamps, and loans.
Adults must not have countable family income that is more than 100% of the current Federal Poverty Level (FPL). Children under age 19 must not have countable family income that is more than 200% FPL. Pregnant women must not have countable family income that is more than 185% FPL (her household size includes the unborn child(ren).
Individuals should contact the Med-QUEST Division to obtain the current income standards.
QUEST Enrollment Cap
An enrollment cap will be in effect when QUEST enrollment exceeds 125,000 individuals. Under the cap, single childless adults cannot be enrolled in QUEST, even if they meet all other requirements. The cap is lifted when enrollment is below 125,000 individuals on the last day of the year.
QUEST Covered Services
The QUEST health plans pay contracted health care providers for medical services received by enrollees. Dental services for QUEST recipients are covered by on a fee-for-service basis. The QUEST covered services include, but are not limited to: