The Income Limit for Ohio Medicaid is a set of rules that determine if an individual or family is eligible for Medicaid coverage. The limit is based on the Federal Poverty Level (FPL), which is a measure of income and poverty in the United States. To be eligible for Medicaid in Ohio, an individual or family’s income must be at or below 138% of the FPL. This means that a family of four with an income of $35,739 or less is eligible for Medicaid. The income limit is higher for pregnant women and children, and there are also special rules for people with disabilities. If you meet the income limit, you may be eligible for Medicaid coverage in Ohio.
Ohio Medicaid Income Eligibility
Ohio Medicaid is a state- and federally-funded health insurance program for individuals and families with low income and limited assets. It offers comprehensive health coverage, including doctor visits, hospital stays, prescription drugs, and more. To qualify for Ohio Medicaid, you must meet certain household income and asset limits.
Household Income Eligibility
The income limit for Ohio Medicaid varies depending on your household size and composition. Generally, you are eligible for Medicaid if your household income is below the federal poverty level (FPL). The FPL is a measure of poverty used by the U.S. government to determine eligibility for various government assistance programs.
The following table shows the income limits for Ohio Medicaid based on household size:
| Household Size | Annual Income Limit (2023) |
|---|---|
| 1 | $14,580 |
| 2 | $19,660 |
| 3 | $24,940 |
| 4 | $30,380 |
| 5 | $35,730 |
| 6 | $40,980 |
| 7 | $46,230 |
| 8 | $51,480 |
| Each additional household member | Add $5,250 |
Other Eligibility Requirements
In addition to meeting the income limit, you must also meet other eligibility requirements to qualify for Ohio Medicaid, including:
- Be a resident of Ohio.
- Be a U.S. citizen or legal permanent resident.
- Not be eligible for Medicare.
- Have limited assets. The asset limit for Ohio Medicaid is $2,000 for individuals and $3,000 for couples.
How to Apply for Ohio Medicaid
To apply for Ohio Medicaid, you can complete an online application or submit a paper application to your local county Job and Family Services office. You will need to provide information about your household income, assets, and other household members. You may also be required to provide proof of your identity, residency, and citizenship.
If you are approved for Ohio Medicaid, you will receive a Medicaid card in the mail. Your Medicaid card will allow you to access covered health care services from any provider that accepts Medicaid.
Ohio Medicaid Income Limit
Ohio Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. To be eligible for Medicaid in Ohio, applicants must meet certain income requirements. The income limits vary depending on the type of Medicaid coverage and the number of people in the household. This article explains the income limits for Ohio Medicaid.
Specific Income Thresholds
- For adults aged 19 and older: The income limit is 138% of the Federal Poverty Level (FPL). For example, in 2023, the income limit for a single adult is $18,754 per year.
- For pregnant women: The income limit is 195% of the FPL. For example, in 2023, the yearly income limit for a pregnant woman is $26,196.
- For children under age 19: The income limit is 195% of the FPL. For example, in 2023, the yearly income limit for a child under 19 is $26,196.
- For parents and caretaker relatives: The income limit is 138% of the FPL for the parent or caretaker and 195% of the FPL for each child in the household. For example, in 2023, the yearly income limits for a parent with one child are $29,481 and $38,170, respectively.
| Category | Income Limit | Example |
|---|---|---|
| Adults aged 19 and older | 138% of FPL | $18,754 per year for a single adult |
| Pregnant women | 195% of FPL | $26,196 per year for a pregnant woman |
| Children under age 19 | 195% of FPL | $26,196 per year for a child |
| Parents and caretaker relatives | 138% of FPL for parent or caretaker, 195% of FPL for each child | $29,481 per year for a parent with one child, $38,170 for the child |
Medicaid Expansion in Ohio
Ohio expanded Medicaid eligibility under the Affordable Care Act (ACA) in 2014. This means that more people, including certain adults, are now eligible for Medicaid coverage in Ohio. The income limits for Ohio Medicaid vary depending on the specific program. However, generally speaking, adults who earn up to 138% of the federal poverty level are eligible for Medicaid.
Income Limits for Ohio Medicaid
Adults
- Individuals: Up to 138% of the federal poverty level ($18,754 in 2023)
- Couples: Up to 138% of the federal poverty level ($25,216 in 2023)
Children
- Up to 19 years old: Up to 200% of the federal poverty level ($26,500 in 2023)
Pregnant Women
- Up to 138% of the federal poverty level ($18,754 in 2023)
People with Disabilities
- Income limits vary depending on the individual’s circumstances
**Note:** The income limits are subject to change. For the most up-to-date information, please visit the Ohio Medicaid website.
| Category | Income Limit |
|---|---|
| Adults (Individuals) | $18,754 |
| Adults (Couples) | $25,216 |
| Children (Up to 19 years old) | $26,500 |
| Pregnant Women | $18,754 |
| People with Disabilities | Varies |
Changes in Income and Medicaid Eligibility
Changes in income can affect Medicaid eligibility. If your income increases, you may lose Medicaid coverage. If your income decreases, you may become eligible for Medicaid coverage.
- Income Increase: If your income increases, you may need to report the change to Medicaid. The amount of income you can earn and still be eligible for Medicaid depends on the type of Medicaid coverage you have.
- Income Decrease: If your income decreases, you may be able to apply for Medicaid coverage. You will need to meet the income and asset limits for the type of Medicaid coverage you are applying for.
It is important to report any changes in income to Medicaid. If you do not report changes in income, you may have to pay back Medicaid benefits you received while you were ineligible.
Income Limits for Ohio Medicaid
The income limit for Ohio Medicaid varies depending on the type of coverage you are applying for. The following table shows the income limits for different types of Medicaid coverage in Ohio.
| Type of Coverage | Income Limit |
|---|---|
| Medicaid for Pregnant Women | 138% of the federal poverty level |
| Medicaid for Children | 138% of the federal poverty level |
| Medicaid for Parents | 138% of the federal poverty level |
| Medicaid for People with Disabilities | SSI income limit |
| Medicaid for Seniors | SSI income limit |