Medicaid in Indiana provides health insurance coverage to eligible individuals with low incomes. The income guidelines determine who is eligible for the program, and they are based on the Federal Poverty Level (FPL). The FPL is a measure of poverty used by the federal government. In Indiana, a single person with an income below 138% of the FPL is eligible for Medicaid. For a family of four, the income limit is 250% of the FPL. Pregnant women and children under the age of 19 are also eligible for Medicaid, regardless of their family income.
Eligibility Requirements for Medicaid in Indiana
Medicaid eligibility in Indiana is determined by several factors, including income and household size. To qualify for Medicaid, applicants must meet certain income limits and other eligibility criteria.
Income Limits
- For individuals: Up to 138% of the Federal Poverty Level (FPL)
- For families: Up to 138% of the FPL
- For Pregnant Women: Up to 215% of the FPL
Other Eligibility Criteria
In addition to income requirements, applicants must also meet other eligibility criteria, such as:
- Residency: Must be a resident of Indiana
- Age: Must be under 19, over 65, pregnant, or disabled
- Citizenship: Must be a U.S. citizen or legal resident
- Enrollment: Must be enrolled in certain programs, such as TANF or SSI
Additionally, Indiana has a spend-down provision, which allows individuals who exceed the income limits to still qualify for Medicaid by incurring medical expenses that reduce their income to the eligibility level.
Income Limits for Medicaid Eligibility in Indiana
| Household Size | 138% of FPL | 215% of FPL |
|---|---|---|
| 1 | $18,754 | $29,101 |
| 2 | $25,461 | $39,758 |
| 3 | $32,169 | $50,416 |
| 4 | $38,876 | $61,073 |
| 5 | $45,584 | $71,730 |
| 6 | $52,291 | $82,388 |
| 7 | $59,000 | $93,045 |
| 8 | $65,708 | $103,703 |
Medicaid Income Guidelines in Indiana
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. The income guidelines for Medicaid in Indiana vary depending on the type of coverage and the number of people in the household. In this article, we’ll discuss the different income limits for Medicaid in Indiana and how to determine if you’re eligible.
Determining Income for Medicaid in Indiana
When determining your income for Medicaid eligibility in Indiana, the following types of income are considered:
- Wages, salaries, and tips
- Self-employment income
- Social Security benefits
- Supplemental Security Income (SSI)
- Unemployment benefits
- Workers’ compensation benefits
- Veterans benefits
- Child support
- Alimony
- Interest and dividends
- Rental income
- Gifts
Some types of income, such as certain types of scholarships and grants, are not counted as income for Medicaid purposes.
In addition to your income, the value of your assets is also considered when determining your Medicaid eligibility. Assets include things like cash, bank accounts, stocks, bonds, and real estate. However, not all assets are counted, such as your home, one car, and certain retirement accounts.
Medicaid Income Limits
The Medicaid income limits in Indiana 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:
| Type of Coverage | Income Limit (for a Family of Four) |
|---|---|
| Medicaid for Families and Children | $3,940 per month |
| Medicaid for Pregnant Women | $2,572 per month |
| Medicaid for Disabled Adults | $2,276 per month |
| Medicaid for Aged Adults | $2,276 per month |
Note: The income limits shown in the table are current as of 2023 and are subject to change.
If your income is above the Medicaid income limit, you may still be eligible for Medicaid if you have high medical expenses. This is called Medically Needy Medicaid. To be eligible for Medically Needy Medicaid, you must have medical expenses that are more than a certain percentage of your income. The percentage varies depending on your age and disability status.
How to Apply for Medicaid in Indiana
To apply for Medicaid in Indiana, you can contact your local county office of the Indiana Family and Social Services Administration (FSSA). You can also apply online at the FSSA website. The application process can be complex, so it’s a good idea to seek help from a qualified professional, such as an attorney or social worker.
If you have any questions about Medicaid eligibility in Indiana, you can contact the FSSA at 1-800-403-0864.
Covered Services Under Medicaid in Indiana
Medicaid, a government-sponsored program, provides health insurance coverage to low-income individuals and families in Indiana. Medicaid in Indiana offers a wide range of services to beneficiaries, including:
- Doctor visits and specialist care
- Hospitalization
- Prescription drugs
- Dental care
- Vision care
- Mental health services
- Substance abuse treatment
- Home health care
- Long-term care
Medicaid also provides coverage for certain preventive services, such as:
- Immunizations
- Well-child visits
- Cancer screenings
Medicaid in Indiana is available to children and adults who meet certain income and eligibility requirements. To be eligible for Medicaid in Indiana, individuals must:
- Be a U.S. citizen or a qualified non-citizen
- Be a resident of Indiana
- Meet certain income and asset limits
Income limits are based on a percentage of the federal poverty level. For example, in 2023, the income limit for a family of four to be eligible for Medicaid in Indiana is $56,782.
Asset limits are also in place for Medicaid eligibility in Indiana. In 2023, the asset limit for a single individual is $2,000. The asset limit for a couple is $3,000.
Individuals who meet the income and eligibility requirements for Medicaid in Indiana can apply for coverage through the state’s Medicaid office.
| Family Size | Federal Poverty Level | Annual Income Limit |
|---|---|---|
| 1 | 100% | $13,590 |
| 2 | 138% | $18,754 |
| 3 | 175% | $23,917 |
| 4 | 213% | $29,080 |
| 5 | 250% | $34,243 |
| 6 | 288% | $39,406 |
| 7 | 325% | $44,569 |
| 8 | 363% | $49,732 |
Income Guidelines for Medicaid in Indiana
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. Income guidelines for Medicaid vary from state to state, and the eligibility criteria in Indiana are outlined below.
Applying for Medicaid in Indiana
- To apply for Medicaid in Indiana, you can use the online application at the Indiana Family and Social Services Administration (FSSA) website, or you can contact the local FSSA office for assistance.
- You will need to provide information about your household income, assets, and any health conditions you or your family members have.
- You may also be asked to provide proof of citizenship or lawful residency in the United States.
- If you are approved for Medicaid, you will receive a Medicaid card that you can use to access covered health care services.
Income Eligibility Guidelines
To qualify for Medicaid in Indiana, your household income must be at or below 138% of the federal poverty level (FPL). The FPL is a measure of poverty that is used by the U.S. government to determine eligibility for various social welfare programs.
The following table shows the income limits for Medicaid eligibility in Indiana for individuals and families of different sizes:
| Household Size | Income Limit |
|---|---|
| 1 | $18,754 |
| 2 | $25,128 |
| 3 | $31,502 |
| 4 | $37,876 |
| 5 | $44,250 |
| 6 | $50,624 |
| 7 | $57,998 |
| 8 | $63,672 |
Note that these income limits are subject to change each year. For the most up-to-date information, please visit the Indiana FSSA website.