What is the Income Limit for Medicaid in Texas

In Texas, Medicaid is a health insurance program for people with low incomes. The income limit to qualify for Medicaid depends on household size and income. For instance, in 2023, a single person can earn up to $1,709 per month and a family of four can earn up to $3,490 per month and still qualify for Medicaid. To check the exact limit, it’s best to contact the Texas Health and Human Services Commission (HHSC).

Medicaid Eligibility in Texas

Medicaid is a health insurance program that provides coverage to low-income individuals and families. In Texas, Medicaid is administered by the Health and Human Services Commission (HHSC). To be eligible for Medicaid in Texas, you must meet certain income and other requirements.

Income Limits

  • The income limit for Medicaid in Texas varies depending on your family size and whether you are pregnant or have a disability.
  • For a family of four, the income limit is $3,470 per month, or $41,640 per year.
  • For a pregnant woman, the income limit is $2,005 per month, or $24,060 per year.
  • For an individual with a disability, the income limit is $1,530 per month, or $18,360 per year.

If your income is above the limit, you may still be eligible for Medicaid if you have certain medical expenses, such as nursing home care or long-term care.

Other Eligibility Requirements

  • In addition to meeting the income requirements, you must also be a U.S. citizen or a legal resident of Texas.
  • You must also be a resident of Texas for at least 30 days.
  • You cannot be enrolled in Medicare.
  • You cannot be incarcerated.

How to Apply for Medicaid

To apply for Medicaid in Texas, you can visit the HHSC website or call the HHSC customer service line at 1-877-438-5678.

Family SizeMonthly Income LimitYearly Income Limit
1$1,456$17,472
2$2,005$24,060
3$2,555$30,660
4$3,470$41,640
5$4,386$52,632
6$5,299$63,588

You will need to provide the following information on your application:

  • Your name, address, and date of birth
  • Your Social Security number
  • Your income and assets
  • Proof of your citizenship or legal residency
  • Proof of your Texas residency

Once you have submitted your application, the HHSC will review it and determine if you are eligible for Medicaid.

Income Guidelines for Medicaid Coverage in Texas

Medicaid is a government health insurance program that provides health coverage to low-income individuals and families. Income guidelines vary from state to state. Individuals and families must meet certain income requirements to qualify for Medicaid in Texas. The income limits are based on the federal poverty level (FPL), which is a measure of poverty in the United States.

Income Limit for Medicaid Coverage in Texas

The income limit for Medicaid coverage in Texas varies depending on the type of Medicaid coverage and the size of the household. The following table shows the income limits for different types of Medicaid coverage in Texas:

Type of Medicaid CoverageIncome Limit
Medicaid for Adults138% of FPL
Medicaid for Children150% of FPL
Medicaid for Pregnant Women185% of FPL
Medicaid for Individuals with DisabilitiesNo income limit

The income limits for Medicaid coverage in Texas are subject to change each year. For the most up-to-date information, please visit the Texas Health and Human Services website.

How to Apply for Medicaid in Texas

To apply for Medicaid in Texas, you can:

  • Apply online at YourTexasBenefits.com
  • Apply by mail by downloading and printing an application from the Texas Health and Human Services website
  • Apply in person at your local Texas Health and Human Services office

You will need to provide proof of income, citizenship, and residency when you apply for Medicaid.

What If I Don’t Qualify for Medicaid?

If you don’t qualify for Medicaid, there are other health insurance options available to you. You can:

  • Purchase health insurance through the Health Insurance Marketplace
  • Get health insurance through your employer
  • Enroll in a Medicare plan if you are 65 or older or have a disability
  • Apply for the Children’s Health Insurance Program (CHIP) if you have children

Income Limit for Medicaid in Texas

To qualify for Medicaid in Texas, you must meet certain income and asset limits. Income limits are based on your Modified Adjusted Gross Income (MAGI). MAGI is your adjusted gross income plus certain other income, such as tax-exempt interest and Social Security benefits. For 2023, the income limit for Medicaid in Texas is 138% of the federal poverty level (FPL). This means that if your MAGI is at or below this limit, you may be eligible for Medicaid.

Assets and Resources Limits for Medicaid

In addition to income limits, there are also asset limits for Medicaid in Texas. Assets include things like cash, savings, investments, and real estate. The asset limit for Medicaid in Texas is $2,000 for individuals and $3,000 for couples. However, there are some assets that are not counted towards this limit, such as your home, one vehicle, and certain personal belongings.

  • Income Limits for Medicaid in Texas:
    • Individuals: 138% of the federal poverty level (FPL)
    • Couples: 138% of the federal poverty level (FPL)
    • Families: 138% of the federal poverty level (FPL)
  • Asset Limits for Medicaid in Texas:
    • Individuals: $2,000
    • Couples: $3,000
Income LimitAsset Limit
Individuals138% of the federal poverty level (FPL)$2,000
Couples138% of the federal poverty level (FPL)$3,000

If you are applying for Medicaid in Texas, you will need to provide proof of your income and assets. This can include pay stubs, bank statements, and investment statements. You may also be asked to provide information about your living situation and your medical expenses.

Medicaid Income Limit in Texas

Medicaid is a government-sponsored health insurance program for people with low income. In Texas, the income limit to qualify for Medicaid varies depending on the type of Medicaid coverage you are applying for. There are two types of Medicaid programs in Texas: Medicaid for Families and Children and Medicaid for Adults.

Applying for Medicaid in Texas

To apply for Medicaid in Texas, you can:

  • Apply online at Your Texas Benefits website
  • Call the Texas Medicaid Helpline at 877-541-7905
  • Visit your local Department of Health and Human Services (DHHS) office

You will need to provide proof of your income, assets, and citizenship or legal residency. You may also need to provide proof of your disability or medical condition.

Income Limits for Medicaid in Texas

The income limit for Medicaid in Texas depends on the type of coverage you are applying for and the size of your household.

Type of CoverageIncome Limit (for a family of four)
Medicaid for Families and Children$4,331 per month
Medicaid for Adults$2,301 per month

If your income is above the limit, you may still be able to qualify for Medicaid if you have high medical expenses. You can contact the Texas Medicaid Helpline for more information.

Thanks for sticking with me through this exploration of Medicaid income limits in Texas. I know it can be dry stuff, but I hope you found it helpful. If you have any more questions, feel free to drop me a line or explore our other resources. In the meantime, stay well and keep an eye out for more informative articles coming soon. I’ll be back before you know it, dishing out the knowledge you crave. Until next time, keep your finances in check and your health a priority.