Medicaid eligibility is determined by income, and it varies by state. In most states, the maximum income to qualify for Medicaid is 138% of the federal poverty level (FPL) for individuals and 133% of the FPL for families. This means that a single person can have an annual income of up to $17,609 and still be eligible for Medicaid. For a family of four, the maximum income is $36,156. In some states, income limits are higher, and there are also exceptions for people with disabilities and children.
Medicaid Income Eligibility Guidelines
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. The income eligibility guidelines for Medicaid vary from state to state, but there are some general rules that apply to all states.
Income Limits
- For individuals: The income limit for Medicaid eligibility is typically 138% of the federal poverty level (FPL). This means that a single person can earn up to $18,754 per year and still be eligible for Medicaid.
- For families: The income limit for Medicaid eligibility is typically 138% of the FPL for each family member. This means that a family of four can earn up to $38,296 per year and still be eligible for Medicaid.
The income limits for Medicaid are adjusted each year based on changes in the cost of living. The current income limits can be found on the Medicaid website.
In addition to income, there are other factors that can affect Medicaid eligibility, such as age, disability, and pregnancy. For more information about Medicaid eligibility, please contact your state Medicaid office.
Medicaid Income Eligibility Table
| Family Size | 138% of FPL |
|---|---|
| 1 | $18,754 |
| 2 | $25,102 |
| 3 | $31,450 |
| 4 | $38,296 |
| 5 | $44,443 |
| 6 | $51,041 |
| 7 | $57,638 |
| 8 | $64,236 |
Do you Qualify for Medicaid?
Medicaid is a joint federal and state program that provides health coverage to people with low incomes and resources. Medicaid eligibility is based on income, family size, and other factors. The income limits for Medicaid vary by state, so it’s important to check with your state Medicaid agency to see if you qualify.
Variations in Medicaid Income Limits by State
- Income Limits: The income limits for Medicaid vary from state to state. In some states, the income limit is as low as 133% of the federal poverty level (FPL), while in other states, the income limit is as high as 400% of the FPL.
- FPL: The federal poverty level is a measure of poverty in the United States. The FPL is updated each year by the U.S. Department of Health and Human Services.
- Family Size: The income limits for Medicaid also vary depending on the size of the family. In general, the larger the family, the higher the income limit.
- Other Factors: In addition to income and family size, there are a number of other factors that can affect Medicaid eligibility, such as age, disability, and pregnancy.
Medicaid Income Limits:
| State | Medicaid Income Limit |
|---|---|
| Alabama | 133% of FPL |
| Alaska | 133% of FPL |
| Arizona | 133% of FPL |
| Arkansas | 138% of FPL |
| California | 138% of FPL |
| Colorado | 138% of FPL |
| Connecticut | 138% of FPL |
| Delaware | 138% of FPL |
| Florida | 138% of FPL |
| Georgia | 138% of FPL |
Medicaid Eligibility: MAGI Calculations
Medicaid is a joint federal and state health insurance program for low-income individuals and families. To be eligible for Medicaid, applicants must meet certain income and other eligibility requirements. The Modified Adjusted Gross Income (MAGI) is used to determine Medicaid eligibility.
MAGI Calculations for Medicaid Eligibility
MAGI is calculated by taking the applicant’s Adjusted Gross Income (AGI) from their federal income tax return and adding back certain nontaxable income, such as:
- tax-exempt interest
- child support
- alimony
- untaxed portions of Social Security benefits
- and certain other types of income.
The MAGI limit for Medicaid eligibility varies from state to state. In most states, the MAGI limit is 138% of the federal poverty level (FPL). For a family of four in 2023, this translates to an annual MAGI limit of $38,295.
Income and Asset Limits
In addition to the MAGI limit, most states also have asset limits for Medicaid eligibility. These limits vary from state to state, but they typically range from $2,000 to $10,000 for individuals and $3,000 to $20,000 for couples. Assets that are counted for Medicaid eligibility include cash, bank accounts, stocks, bonds, and real estate (excluding the applicant’s primary residence).
Medicaid Eligibility Table
The following table shows the MAGI limits for Medicaid eligibility in all 50 states and the District of Columbia. The table also includes the state asset limits for Medicaid eligibility.
| State | MAGI Limit | Asset Limit |
|---|---|---|
| Alabama | 138% FPL | $2,000 |
| Alaska | 138% FPL | $10,000 |
| Arizona | 138% FPL | $2,000 |
| Arkansas | 138% FPL | $2,000 |
| California | 138% FPL | $2,000 |
| Colorado | 138% FPL | $2,000 |
| Connecticut | 138% FPL | $2,000 |
| Delaware | 138% FPL | $2,000 |
| Florida | 138% FPL | $2,000 |
| Georgia | 138% FPL | $2,000 |
To learn more about Medicaid eligibility in your state, visit the Medicaid website or contact your state Medicaid office.
Maximum Income for Medicaid Eligibility
Medicaid is a government healthcare program that provides medical coverage to individuals and families with low income and resources. Medicaid income eligibility limits vary by state and depend on several factors, including family size, age, disability status, and pregnancy. Individuals or families who exceed the Medicaid income limits may still be eligible for coverage under special income rules.
Special Income Rules for Medicaid
There are several special income rules that can affect Medicaid eligibility, including:
- Earned Income Disregard: A portion of earned income from work may be disregarded when determining Medicaid eligibility. The amount of the disregard varies by state.
- Unearned Income Disregard: Certain types of unearned income, such as Social Security benefits, may be disregarded when determining Medicaid eligibility. The amount of the disregard varies by state.
- Dependent Care Disregard: A portion of income used to pay for dependent care expenses may be disregarded when determining Medicaid eligibility. The amount of the disregard varies by state.
In some states, individuals or families may also be eligible for Medicaid if they meet certain asset limits. Assets include cash, savings, stocks, bonds, and real estate, excluding the home where the individual or family lives.
For more information about Medicaid income and asset limits and special income rules, individuals should contact their state Medicaid agency.
Table of Medicaid Income Limits by State
The following table provides an overview of Medicaid income limits for individuals and families in each state:
| State | Medicaid Income Limit for Individuals | Medicaid Income Limit for Families of Four |
|---|---|---|
| Alabama | $1,683 | $3,466 |
| Alaska | $2,109 | $4,339 |
| Arizona | $1,337 | $2,742 |
| Arkansas | $1,875 | $3,855 |
| California | $1,765 | $3,618 |
Hey there, folks! Thanks a bunch for taking the time to read this piece on Medicaid income eligibility. I know it can be a bit of a snoozefest, but hey, knowledge is power, right? Keep in mind that specific income limits might differ from state to state, so be sure to check with your local Medicaid office or visit their website. And while you’re at it, feel free to poke around our site for more interesting reads. We’ve got something for everyone, so come on back and let us entertain you again soon!