What Are the Income Limits for Medicaid in Illinois

Medicaid’s income limits for Illinois are set to ensure that individuals and families with low incomes can access necessary medical care. By providing a stable source of health coverage, Medicaid helps to reduce the financial burden of healthcare costs for those who qualify. The eligibility guidelines consider a household’s income, family size, and other factors such as age or disability status. Understanding these income limits is crucial in determining one’s eligibility for Medicaid and accessing the healthcare services offered by the program. If you reside in Illinois and need assistance with healthcare expenses, it’s worth exploring whether you meet the Medicaid income requirements to utilize this vital resource.

Medicaid Eligibility in Illinois

Medicaid is a health insurance program that provides coverage for low-income individuals and families. In Illinois, Medicaid eligibility is based on income, resources, and other factors.

  • Income Limits: Income limits for Medicaid vary depending on the type of coverage and the number of people in your household. For example, in 2023, the income limit for a single adult is $1,682 per month.
  • Resource Limits: In addition to income limits, there are also resource limits for Medicaid eligibility. Resources include cash, bank accounts, stocks, and bonds. The resource limit for a single adult in Illinois is $2,000.
  • Other Factors: In addition to income and resources, other factors that can affect Medicaid eligibility include age, disability, and pregnancy. For example, pregnant women and children under the age of 19 are automatically eligible for Medicaid regardless of their income or resources.
Medicaid Income Limits in Illinois for 2023
Household SizeAnnual Income LimitMonthly Income Limit
1$20,184$1,682
2$26,976$2,248
3$33,768$2,814
4$40,560$3,380
5$47,352$3,946
6$54,144$4,512
7$60,936$5,078
8$67,728$5,644

For More Information

To learn more about Medicaid eligibility in Illinois, you can visit the Illinois Department of Healthcare and Family Services website or call the Medicaid hotline at 1-800-323-2153.

Factors Affecting Medicaid Income Limits

The income limits for Medicaid in Illinois vary depending on several factors, including:

  • Family size: The larger the family, the higher the income limit.
  • Age: Individuals over 65 and children under 19 have higher income limits.
  • Disability: Individuals with disabilities may have higher income limits.
  • Pregnancy: Pregnant women have higher income limits.

Medicaid Income Limits in Illinois

The following table shows the Medicaid income limits in Illinois for different family sizes and ages:

Family SizeAgeIncome Limit
1Under 19$23,100
119-64$18,450
165 or older$23,100
2Under 19$31,620
219-64$25,110
265 or older$31,620
3Under 19$40,140
319-64$31,770
365 or older$40,140
4Under 19$48,660
419-64$38,430
465 or older$48,660
5Under 19$57,180
519-64$45,090
565 or older$57,180
6Under 19$65,700
619-64$51,750
665 or older$65,700
7Under 19$74,220
719-64$58,410
765 or older$74,220
8Under 19$82,740
819-64$65,070
865 or older$82,740

Income Limit Categories for Different Groups

Medicaid income limits in Illinois vary across different groups of individuals. These limits are determined based on the federal poverty level (FPL), and individuals or families with incomes below these limits may be eligible for Medicaid coverage. The following are the income limit categories for different groups:

  • Adults (19-64 years old): For adults between the ages of 19 and 64, the income limit is 138% of the FPL. In 2023, this equates to an annual income limit of $18,754 for an individual and $38,295 for a family of four.
  • Children (under 19 years old): For children under the age of 19, the income limit is 133% of the FPL. In 2023, this equates to an annual income limit of $17,771 for an individual child and $36,590 for a family of four.
  • Pregnant Women: Pregnant women are eligible for Medicaid regardless of their income. However, their income may be considered in determining the level of Medicaid coverage they are eligible for.
  • Individuals with Disabilities: Individuals with disabilities who meet the Social Security Administration’s definition of disability may be eligible for Medicaid regardless of their income. However, their income may affect the amount of their Medicaid coverage.
  • Nursing Home Residents: To qualify for Medicaid coverage for nursing home care, individuals must have income and assets below certain limits. In Illinois, the income limit for nursing home residents is $2,523 per month, and the asset limit is $2,000 for an individual or $3,000 for a couple.

It’s important to note that these income limits are subject to change each year based on adjustments to the federal poverty level. Additionally, there may be special circumstances or exceptions that could affect an individual’s eligibility for Medicaid. For more information and to determine your specific eligibility, it’s recommended to contact the Illinois Department of Healthcare and Family Services (HFS) or visit their website.

Medicaid Income Limits in Illinois for 2023
GroupIncome Limit (% of FPL)Annual Income Limit (Individual)Annual Income Limit (Family of Four)
Adults (19-64 years old)138%$18,754$38,295
Children (under 19 years old)133%$17,771$36,590
Pregnant WomenNo income limit
Individuals with DisabilitiesNo income limit
Nursing Home Residents$2,523 per month$30,276

Income Limits for Medicaid in Illinois

Medicaid is a state and federal health insurance program that provides coverage to low-income individuals and families. In Illinois, the income limits for Medicaid vary depending on the type of coverage and the size of the household.

Applying for Medicaid in Illinois

  1. You can apply for Medicaid online, by mail, or in person at your local Department of Human Services (DHS) office.
  2. You will need to provide proof of income, assets, and household size.
  3. You may also need to provide proof of citizenship or legal residency.
  4. Once you have applied, DHS will determine if you are eligible for Medicaid.

If you are approved for Medicaid, you will receive a Medicaid card in the mail. This card will allow you to access Medicaid benefits, such as doctor visits, hospital stays, and prescription drugs.

Income Limits for Medicaid in Illinois
Household SizeAnnual Income Limit
1$17,609
2$23,792
3$30,675
4$36,375
5$42,958
6$48,750
7$55,325
8$60,100

Hope that wraps up everything you needed to know about Medicaid income limits in Illinois. If you have more questions, feel free to check out the official Medicaid website or give them a call. Thanks for hanging out with us today! I hope you found what you were looking for. If not, don’t worry, I’ll be back with more helpful articles soon. In the meantime, feel free to browse around the site and see what else we have to offer. Take care and see you later!