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Lee County Medicaid Resource Center

lee county florida downtown

If you live in Lee County, Florida, this guide explains how to apply for Florida Medicaid, manage your Medicaid case, find healthcare providers, get transportation, understand managed care, renew coverage, and find low-cost healthcare if you are uninsured.

 

Lee County includes Fort Myers, Cape Coral, Bonita Springs, Estero, Lehigh Acres, North Fort Myers, San Carlos Park, and surrounding communities.

Florida Medicaid in Lee County

Florida Medicaid provides healthcare coverage to eligible Floridians, including certain low-income families, children, pregnant women, seniors, people with disabilities, and individuals who qualify under other Medicaid categories.

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In Florida, Medicaid eligibility and applications are generally handled through the Florida Department of Children and Families (DCF), while the Agency for Health Care Administration (AHCA) administers the Medicaid program and oversees managed care.

 

Lee County residents can apply for and manage Medicaid through MyACCESS Florida. MyACCESS allows residents to apply, check eligibility, upload documents, manage cases, and receive notices.

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MyACCESS Florida

Customer Call Center: 850-300-4323
Hours: Monday-Friday, 8 a.m.-5 p.m.

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You can use MyACCESS to:

  • Apply for Medicaid

  • Check your application status

  • Renew Medicaid

  • Report changes

  • Upload verification documents

  • Review notices

  • Check eligibility

  • Manage other public assistance programs

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MyACCESS Florida

Lee County DCF Medicaid Assistance

The Florida Department of Children and Families has a Fort Myers Service Center that serves Lee County residents.

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DCF Fort Myers Service Center

2295 Victoria Ave.
Fort Myers, FL 33901

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The service center can provide assistance with public-benefit processes, including Medicaid-related applications and documentation.

Services available at the location can include:

  • Dropping off documents

  • Identity verification

  • Using a computer to apply for benefits

  • Obtaining forms

  • Assistance with DCF benefit cases

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The statewide DCF customer service number is 850-300-4323.

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Florida Department of Children & Families

State government office

Website (239) 332-2822

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Important: Many Medicaid transactions can be completed online through MyACCESS, so calling before visiting a local office can help determine whether an in-person visit is necessary.

Lee County Medicaid Community Assistance

Lee County has organizations that help residents navigate Medicaid and other public benefits.

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Florida DCF Community Partner

A DCF Community Partner in Fort Myers can help residents with MyACCESS applications and renewals.

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Florida Department of Children & Families - Access Florida Community Partners

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Department of Social Services

3677 Central Ave., Suite J
Fort Myers, FL 33901
Phone: 239-208-2133

 

Community partners can be particularly useful if you need assistance using the MyACCESS website or submitting an application.

 

Interfaith Charities of South Lee

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Interfaith Charities Outreach Center

Non-profit organization

Website

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18011 S. Tamiami Trail, Suite 28
Fort Myers, FL 33908
Phone: 239-267-3510

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This organization is a DCF ACCESS site and can assist members of the public with SNAP and Medicaid registration.

Florida Department of Health in Lee County

The Florida Department of Health in Lee County (DOH-Lee) provides healthcare and public-health services to residents.

 

The Florida Department of Health in Lee County

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Main Clinic

3920 Michigan Ave.
Fort Myers, FL 33916
Phone: 239-332-9501

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DOH-Lee's clinical services phone number is 239-461-6100. The department accepts Medicaid and some private insurance. Certain services are also available on a sliding-fee scale for self-pay patients.

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Services may include:

  • Family planning

  • Women's health

  • Immunizations

  • Disease prevention

  • Health education

  • Prescription assistance programs

  • Other clinical and public-health services

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Pondella Clinic

83 Pondella Road
North Fort Myers, FL 33903

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The location provides public-health and WIC services.

Medicaid Doctors in Lee County

Medicaid recipients should generally start by contacting their managed care plan to find participating doctors.

 

Florida Medicaid managed care plans maintain provider directories that can help you locate:

  • Primary care doctors

  • Pediatricians

  • Specialists

  • Women's healthcare providers

  • Behavioral health providers

  • Hospitals

  • Other Medicaid providers

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Before scheduling an appointment, confirm that the provider currently accepts your specific Medicaid plan.

Provider participation can change.

Medicaid Dentists in Lee County

Florida Medicaid dental coverage depends on the individual's Medicaid eligibility category and the applicable dental program.

 

If you need a Medicaid dentist, check your dental benefits and use the provider directory associated with your coverage.

 

Before making an appointment, ask:

  1. Do you accept Florida Medicaid?

  2. Do you accept my specific Medicaid plan?

  3. Are you accepting new Medicaid patients?

  4. Is the service covered?

  5. Do I need authorization?

Medicaid Managed Care Plans in Lee County

Most Florida Medicaid recipients receive healthcare through a managed care plan.

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Your plan can help with:

Choosing a primary care doctor
Finding specialists
Finding dentists
Referrals
Prior authorization
Prescription questions
Transportation
Behavioral healthcare
Member complaints and appeals

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Lee Health currently lists several Medicaid plans among the plans with which its hospitals are contracted, including Aetna, Community Care Plan, Humana Healthy Horizons, Simply Medicaid, Sunshine Medicaid, and WellCare, among others. Plan participation can vary by product and provider, so patients should verify coverage before receiving care.

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Florida Medicaid managed care information

Medicaid Transportation in Lee County

Medicaid may provide transportation for eligible beneficiaries who need transportation to covered medical services.

 

Transportation can include:

  • Medical appointments

  • Dental appointments

  • Specialists

  • Dialysis

  • Other covered healthcare services

The transportation process depends on your Medicaid managed care plan. Do not wait until the day of your appointment to arrange transportation. Contact the member-services number on your Medicaid plan identification card and ask how to schedule a Medicaid transportation ride.

Lee County Medicaid Hospitals

Lee County has several major healthcare facilities that serve Medicaid patients.

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Lee Health

Lee Health operates major hospitals and healthcare facilities throughout the county, including:

  • Lee Memorial Hospital

  • HealthPark Medical Center

  • Cape Coral Hospital

  • Gulf Coast Medical Center

  • Golisano Children's Hospital

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Lee Health states that its hospitals participate with Medicaid and maintains a list of contracted Medicaid plans.

Help Paying Medical Bills in Lee County

If you do not have insurance and have a medical bill you cannot afford, there are several options to investigate.

 

Lee Health Financial Assistance

Lee Health offers financial assistance, discounts and payment arrangements for qualifying patients.

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Its financial assistance program applies to:

  • Lee Memorial Hospital

  • HealthPark Medical Center

  • Cape Coral Hospital

  • Gulf Coast Medical Center

  • Rehabilitation Hospital

  • Golisano Children's Hospital

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Lee Health provides financial-assistance applications and information about eligibility through its billing department.

Lee Health Patient Financial Services

Phone: 239-424-1500
Toll-free: 800-809-9906

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Uninsured patients should ask about:

  • Financial assistance

  • Charity care

  • Uninsured discounts

  • Sliding-scale discounts

  • Payment plans

  • Financing options

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Lee Health specifically states that uninsured patients who cannot pay their balance can contact Patient Financial Services about assistance programs and payment arrangements.

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Financial Assistance Mailing Address

Lee Health Patient Financial Services
PO Box 150107
Suite 203
Cape Coral, FL 33915

Family Health Centers of Southwest Florida

Family Health Centers of Southwest Florida is another important resource for people who need community healthcare.

 

Family Health Centers Of Southwest Fl

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The organization operates community health centers throughout Southwest Florida and provides medical, dental and other healthcare services.

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One major location is:

2256 Heitman St.
Fort Myers, FL 33901
Phone: 239-278-3600

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Another major location is:

Family Health Centers of SWFL - Downtown Fort Myers Office

2232 Grand Ave.
Fort Myers, FL 33901
Phone: 844-342-7935

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Services can include:

  • Adult medical care

  • Pediatrics

  • Women's health

  • Dental care

  • Pharmacy services

  • Preventive care

  • Community healthcare

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Ask the center about Medicaid acceptance and reduced-cost services before your appointment.

Low-Cost Healthcare for Uninsured Lee County Residents

If you do not have Medicaid or private insurance, you may still have options.

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Premier Mobile Health Services

Walk-in clinic

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10676 Colonial Blvd., Suite 20
Fort Myers, FL 33913
Phone: 239-288-7949

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Premier Mobile Health Services is a nonprofit healthcare organization serving Southwest Florida. It operates a Fort Myers clinic and mobile healthcare services.

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Patients without insurance should ask about eligibility for free or reduced-cost services.

Lee County Medicaid Renewal

If you currently receive Medicaid, keep your address, telephone number and other case information updated.

Florida Medicaid eligibility reviews resumed following the federal pandemic-era continuous coverage period.

You should:

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  1. Keep your MyACCESS account information current.

  2. Watch your mail for Medicaid notices.

  3. Read every notice from DCF.

  4. Submit requested documents by the deadline.

  5. Check your Medicaid status through MyACCESS.

  6. Contact DCF if you do not understand a notice.

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Lee Health also advises Medicaid patients to keep contact information current and complete renewal forms when requested.

What Documents May Be Needed for Medicaid?

When applying for or renewing Medicaid, DCF may request documentation such as:

  • Identification

  • Proof of income

  • Pay stubs

  • Social Security information

  • Proof of household information

  • Medical expense information

  • Insurance information

  • Pregnancy verification when applicable

  • Disability-related documentation when applicable

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MyACCESS identifies medical bills, medical transportation bills, insurance policies and premiums among examples of medical-expense documentation that may be requested for certain eligibility determinations.

What If Your Lee County Medicaid Application Is Denied?

If DCF denies your Medicaid application, read the notice carefully.

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The notice should explain:

  • Why the application was denied

  • The effective date

  • Whether additional information can be submitted

  • Whether you have appeal or fair-hearing rights

  • How to request a hearing

  • Any applicable deadline

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Keep a copy of the denial notice and all documents you submitted. If the denial resulted from missing information, determine whether you can provide the requested information or otherwise challenge the determination.

Lee County Medicaid Fair Hearings and Appeals

Medicaid recipients have rights concerning adverse Medicaid decisions.

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If you receive a notice terminating, reducing or denying Medicaid benefits, review the notice for information about requesting a fair hearing.

Do not assume that ignoring the notice will preserve your coverage.

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Pay close attention to the deadline printed on your notice.

Medicaid for Children in Lee County

Children may qualify for Medicaid or Florida KidCare depending on household circumstances and eligibility requirements. Parents should apply through MyACCESS or obtain assistance from a community partner.

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Healthcare resources for children in Lee County include pediatric providers, community health centers and Golisano Children's Hospital.

Pregnancy Medicaid in Lee County

Pregnant women who believe they may qualify for Florida Medicaid should apply as soon as possible. Pregnancy-related Medicaid can provide important prenatal and maternity healthcare coverage for eligible applicants. You can apply through MyACCESS Florida or seek assistance from a DCF Community Partner.

Medicaid for Seniors and People With Disabilities

Florida Medicaid has different eligibility pathways for seniors and people with disabilities.

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Some programs involve:

  • Nursing-home Medicaid

  • Home and community-based services

  • Long-term care

  • Medicare-related assistance

  • SSI-related Medicaid

  • Medicaid waiver programs

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Eligibility rules can be significantly different from the rules that apply to families and children. If you are applying for long-term-care Medicaid, gather financial and medical documentation before beginning the application.

Lee County Medicaid Waiver Resources

Florida Medicaid waiver programs can provide services to certain people with significant disabilities or long-term-care needs.

 

Depending on the waiver and eligibility category, services may include:

  • Personal care

  • Respite

  • Homemaker services

  • Supported living

  • Adult day training

  • Medical supplies

  • Transportation

  • Residential services

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Some Florida Medicaid waiver programs have waiting lists. Contact the appropriate state program to determine eligibility and current enrollment procedures.

Lee County Medicaid Phone Numbers

Florida DCF/MyACCESS 850-300-4323

Florida Department of Health in Lee County 239-332-9501

DOH-Lee Clinical Services 239-461-6100

Lee Health Patient Financial Services 239-424-1500

Lee Health Patient Financial Services Toll-Free 800-809-9906

Family Health Centers of SW Florida 239-278-3600

Family Health Centers appointment line 844-342-7935

Premier Mobile Health Services 239-288-7949

Interfaith Charities of South Lee 239-267-3510

Lee County Medicaid Phone Numbers

Apply for Medicaid

MyACCESS Florida

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Medicaid case assistance

Florida DCF

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Local Medicaid application help

DCF Community Partners

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Public health services

Florida Department of Health in Lee County

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Low-cost healthcare

Family Health Centers of Southwest Florida

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Uninsured healthcare

Community health centers and nonprofit clinics

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Hospital financial assistance

Lee Health Patient Financial Services

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Medicaid doctors

Your Medicaid managed care plan

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Medicaid dentists

Your Medicaid dental/provider network

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Transportation

Your Medicaid managed care plan

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Medicaid renewal

MyACCESS Florida/DCF

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Medicaid appeals

Follow instructions on your DCF/AHCA notice

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Medicaid managed care

AHCA and your health plan

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Children's coverage

Medicaid/KidCare

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