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Medicaid Income Guidelines for Individuals
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. To qualify for Medicaid in North Carolina, individuals must meet certain income and asset limits.
The income limits for Medicaid in North Carolina are based on the federal poverty level (FPL). The FPL is a measure of poverty that is used to determine eligibility for a variety of government programs. In 2023, the FPL for a single individual is $13,590. For a family of four, the FPL is $27,750.
To be eligible for Medicaid in North Carolina, an individual’s income must be at or below 138% of the FPL. This means that a single individual with an income of $18,686 or less per year is eligible for Medicaid. A family of four with an income of $38,025 or less per year is also eligible.
In addition to income limits, there are also asset limits for Medicaid eligibility. For individuals, the asset limit is $2,000. For couples, the asset limit is $3,000.
To apply for Medicaid in North Carolina, you can visit the state’s Medicaid website or contact your local Medicaid office.
Household Size | Income Limit |
---|---|
1 | $18,686 |
2 | $25,114 |
3 | $31,542 |
4 | $38,025 |
5 | $44,453 |
6 | $50,881 |
7 | $57,355 |
8 | $63,783 |
Medicaid Income Guidelines for Families
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid eligibility is based on income and other factors. The income limits for Medicaid in North Carolina for families are as follows:
- Family of 1: $2,288 per month
- Family of 2: $3,084 per month
- Family of 3: $3,881 per month
- Family of 4: $4,678 per month
- Family of 5: $5,475 per month
- Family of 6: $6,272 per month
- Family of 7: $7,069 per month
- Family of 8: $7,866 per month
- For each additional family member: Add $800 per month
These income limits are subject to change each year. To find out the most current income limits, contact your local Medicaid office.
In addition to income, other factors that may affect Medicaid eligibility include:
- Age
- Disability status
- Pregnancy
- Parenting status
If you meet the income and other eligibility requirements, you may be able to get Medicaid coverage for yourself and your family. To apply for Medicaid, contact your local Medicaid office or visit the North Carolina Department of Health and Human Services website.
Family Size | Monthly Income Limit |
---|---|
1 | $2,288 |
2 | $3,084 |
3 | $3,881 |
4 | $4,678 |
5 | $5,475 |
6 | $6,272 |
7 | $7,069 |
8 | $7,866 |
Each additional family member | Add $800 |
Medicaid Eligibility in North Carolina
Medicaid is a healthcare program that provides comprehensive medical care to individuals with limited incomes and resources. Medicaid eligibility in North Carolina is determined by Modified Adjusted Gross Income (MAGI).
MAGI Calculation for Medicaid Eligibility
MAGI is a measure of income used to determine Medicaid eligibility. It is calculated by taking the household’s adjusted gross income (AGI) and adding certain non-taxable income, such as Social Security benefits and tax-exempt interest.
- Adjusted Gross Income (AGI):
- The starting point for calculating MAGI is the household’s AGI.
- Non-Taxable Income:
- Certain types of non-taxable income are added to AGI to determine MAGI.
- Some examples include Social Security benefits, tax-exempt interest, and certain disability payments.
The following table shows the Medicaid income limits for North Carolina based on MAGI:
Household Size | MAGI Limit for Medicaid Eligibility |
---|---|
1 | $1,563 |
2 | $2,119 |
3 | $2,676 |
4 | $3,232 |
5 | $3,789 |
6 | $4,345 |
7 | $4,902 |
8 | $5,458 |
Individuals and families with MAGIs below these limits may be eligible for Medicaid coverage. In addition to income, other factors such as age, citizenship, and residency also affect Medicaid eligibility.
Medicaid Expansion in North Carolina
North Carolina expanded Medicaid eligibility to cover adults ages 19–64 with incomes up to 138% of the federal poverty level (FPL). This means that a single adult with an annual income of up to $19,320, or a family of four with an annual income of up to $39,750, may be eligible for Medicaid coverage.
Income Limits for Medicaid in North Carolina
The income limits for Medicaid in North Carolina vary depending on the type of coverage and the number of people in the household. The following table shows the income limits for different types of Medicaid coverage in North Carolina:
Type of Coverage | Income Limit |
---|---|
Medicaid for Pregnant Women | 138% of the FPL |
Medicaid for Children | 138% of the FPL |
Medicaid for Adults | 138% of the FPL |
Medicaid for People with Disabilities | SSI income limit |
Medicaid for People in Nursing Homes | SSI income limit |
Note: The income limits for Medicaid in North Carolina are subject to change. For the most up-to-date information, please visit the North Carolina Department of Health and Human Services website.
How to Apply for Medicaid in North Carolina
To apply for Medicaid in North Carolina, you can either:
- Apply online at the North Carolina Department of Health and Human Services website.
- Call the Medicaid Application Helpline at 1-855-362-4321.
- Visit your local Department of Social Services office.
You will need to provide the following information when you apply for Medicaid:
- Your Social Security number.
- Your birth certificate.
- Proof of income.
- Proof of residency.
- Proof of citizenship or legal residency.
Once you have applied for Medicaid, you will be notified of your eligibility determination within 45 days.
Hey y’all! That’s all we’ve got for you today about the income limits for Medicaid in North Carolina. We understand that this can be a lot of information to take in, so we hope you’ll take some time to digest it all. If you’re curious about other Medicaid-related topics or have questions about your eligibility, be sure to check out our website or give us a call. Thanks for reading, and we’ll see y’all next time!