Medicaid Coverage Is More Helpful If People Can Access It

Medicaid Coverage Is More Helpful If People Can Access It
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Medicaid provides essential coverage for millions of older adults and people with disabilities, yet coverage alone doesn’t guarantee access. Many Medicaid recipients face barriers that go far beyond eligibility: limited digital skills, unclear benefit information, transportation challenges, and a lack of trusted guidance.

GetSetUp helps close this gap by pairing peer-led education with practical digital and health literacy support, ensuring Medicaid beneficiaries can actually understand and use (or access) the services available to them.

According to GetSetUp survey data, nearly 67% of learners across all plan types report being only somewhat confident or not confident at all in understanding their benefits, with Medicaid and dual-eligible participants showing similar or greater needs. Many learners report confusion around coverage, costs, and how to access benefits, particularly when those benefits are housed inside online portals they don’t know how to use.

GetSetUp addresses this challenge through:

  • Digital literacy classes that teach learners how to log into portals, navigate benefits, and access forms
  • Health literacy sessions that help explain plan coverage and benefits in plain language
  • Live, interactive support delivered by peers who understand the system from lived experience

Impact data reinforces that this approach works. Across nearly 800 matched survey responses, learners show an average confidence increase of approximately 21%, with the strongest gains in technology (about 35%) and healthcare understanding (about 34%), the exact skills Medicaid recipients need to activate benefits and manage care.

For states and Medicaid agencies, this matters. When members understand their benefits, they:

  • Use preventive services more consistently
  • Rely less on call centers
  • Engage more confidently with managed care organizations
  • Experience greater independence and well-being

Medicaid is not just about coverage; it’s about access. GetSetUp helps make that access real.

Bring GetSetUp to your organization

We partner with Medicare Advantage plans, dual eligible plans,  healthcare providers, Departments of Health & Human Services, Government aging services and more.