In Michigan, to be eligible for Medicaid, a person’s monthly income must be below a certain limit. The limit varies depending on the person’s situation, such as their age, whether they have children, or if they have a disability. For example, in 2023, the monthly income limit for a single adult without children is $1,765. For a family of four, the limit is $3,533. There are also limits on the amount of assets a person can have and still be eligible for Medicaid. These limits also vary depending on the person’s situation.
Medicaid Income Eligibility Guidelines
Medicaid is a joint federal-state health insurance program that provides coverage to low-income individuals and families. In Michigan, Medicaid is administered by the Michigan Department of Health and Human Services (MDHHS). To be eligible for Medicaid in Michigan, individuals and families must meet certain income and asset limits. The income limits vary depending on the type of Medicaid coverage and the size of the household.
Income Limits for Medicaid in Michigan
- For pregnant women and children under 19 years old: The income limit is 138% of the federal poverty level (FPL).
- For adults aged 19 to 64 years old who are not disabled or pregnant: The income limit is 0% of the FPL.
- For adults aged 65 years old and older, or who are disabled: The income limit is 100% of the FPL.
| Household Size | 138% of FPL | 100% of FPL | 0% of FPL |
|---|---|---|---|
| 1 | $18,754 | $13,590 | $0 |
| 2 | $25,216 | $18,220 | $0 |
| 3 | $31,678 | $22,850 | $0 |
| 4 | $38,140 | $27,480 | $0 |
| 5 | $44,602 | $32,110 | $0 |
The FPL is a measure of poverty that is used to determine eligibility for various government programs. The FPL is updated each year by the U.S. Department of Health and Human Services.
In addition to income limits, there are also asset limits for Medicaid eligibility in Michigan. The asset limits vary depending on the type of Medicaid coverage and the size of the household. For more information on Medicaid income and asset limits, please visit the MDHHS website.
Michigan Medicaid Income Limits
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. The income limit for Medicaid varies from state to state, and in Michigan, it is based on a percentage of the federal poverty level (FPL). The FPL is a measure of poverty that is updated each year by the U.S. Department of Health and Human Services. For 2023, the FPL is $13,590 for an individual and $27,750 for a family of four.
Income Limits
- For individuals, the Medicaid income limit is 138% of the FPL, which is $18,670 per year or $1,556 per month.
- For families, the Medicaid income limit is 138% of the FPL for each family member. For example, a family of four with an income of $37,530 per year ($3,128 per month) would be eligible for Medicaid.
In addition to income, Medicaid eligibility is also based on other factors, such as age, disability, and pregnancy. To learn more about Medicaid eligibility in Michigan, you can visit the Michigan Department of Health and Human Services website or call the Medicaid office at 1-800-642-3195.
Income Limits for Different Groups
| Group | Income Limit (Yearly) | Income Limit (Monthly) |
|---|---|---|
| Individuals | $18,670 | $1,556 |
| Families of 2 | $25,100 | $2,092 |
| Families of 3 | $31,530 | $2,628 |
| Families of 4 | $37,950 | $3,163 |
Note: These income limits are for 2023 and are subject to change.
Gross Monthly Income Calculations
To determine your monthly income for Medicaid eligibility in Michigan, you must consider all sources of income. Monthly gross income encompasses the following:
- Wages, salaries, tips, and commissions before taxes are deducted
- Self-employment income minus business expenses
- Social Security benefits (including SSI & SSDI)
- Unemployment benefits
- Pensions
- Annuities
- Interest and dividends
- Rental income
- Workers’ compensation
- Prizes and awards
- Certain grants and scholarships
When determining income for Medicaid, you must consider some additional factors. The Michigan Department of Health and Human Services (MDHHS) sets specific rules for calculating income. For example:
- Earned income is calculated by subtracting business expenses from gross earnings.
- Income from self-employment is calculated based on net profit or loss after deducting business expenses.
- Income from room and board is not considered income for Medicaid eligibility.
- Income from occasional gifts is not considered income for Medicaid eligibility.
Specific income deductions may also apply when calculating monthly income. These deductions may include:
- Standard deduction
- Earned income deduction (for working individuals and families)
- Dependent care deduction
- Child support paid to a non-custodial parent
- Court-ordered fines or restitution
- Health insurance premiums
- Certain employment expenses
| Income Type | Calculation |
|---|---|
| Earned Income | Gross wages, minus business expenses |
| Self-Employment Income | Net profit or loss, after business expenses |
| Unemployment Benefits | Total amount of benefits received |
| Social Security Benefits | Total amount of benefits received, including SSI & SSDI |
| Pensions | Total amount of pension payments received |
| Annuities | Total amount of annuity payments received |
| Interest and Dividends | Total amount of interest and dividends received |
| Rental Income | Total amount of rental income received, minus expenses |
| Workers’ Compensation | Total amount of workers’ compensation benefits received |
| Prizes and Awards | Total amount of prizes and awards received |
Medicaid Income Eligibility in Michigan
Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. To be eligible for Medicaid in Michigan, you must meet certain income and asset requirements. The income limit for Medicaid in Michigan is based on your Modified Adjusted Gross Income (MAGI). MAGI is your adjusted gross income, plus certain other income that is not taxed. The MAGI limit varies depending on your household size and the type of Medicaid coverage you are applying for.
MAGI Calculation for Medicaid Eligibility
To calculate your MAGI, you will need to start with your adjusted gross income (AGI). AGI is the amount of income you have left after subtracting certain deductions and adjustments from your gross income. You can find your AGI on line 11 of your federal income tax return.
Once you have your AGI, you will need to add back certain income that is not taxed. This includes:
- Nontaxable Social Security benefits
- Nontaxable pensions and annuities
- Interest from tax-exempt bonds
- Rental income
- Alimony
- Child support
- Certain other income
The amount of income you add back will depend on your specific situation.
Once you have added back all of the necessary income, you will have your MAGI.
Medicaid Income Limits for Children and Pregnant Women
The MAGI limit for children and pregnant women in Michigan is 138% of the federal poverty level (FPL). The FPL is a measure of income that is used to determine eligibility for a variety of government programs. For a family of three, the FPL is $2,575 per month in 2023. This means that the MAGI limit for children and pregnant women in Michigan is $3,550 per month in 2023.
Medicaid Income Limits for Adults
The MAGI limit for adults in Michigan is 138% of the federal poverty level (FPL). The FPL is a measure of income that is used to determine eligibility for a variety of government programs. For a single adult, the FPL is $1,359 per month in 2023. This means that the MAGI limit for adults in Michigan is $1,872 per month in 2023.
Table of MAGI Limits for Medicaid Eligibility in Michigan
| Household Size | MAGI Limit |
|---|---|
| 1 | $1,872 |
| 2 | $2,529 |
| 3 | $3,187 |
| 4 | $3,845 |
| 5 | $4,502 |
| 6 | $5,160 |
| 7 | $5,818 |
| 8 | $6,475 |
If your MAGI is below the limit for your household size, you may be eligible for Medicaid coverage in Michigan. To apply for Medicaid, you can contact your local Michigan Department of Health and Human Services (MDHHS) office.
Well, that’s about it for Medicaid income limits in Michigan. Thanks for reading, folks! If you have any questions, or if you just want to chat, feel free to drop me a line. I’m always happy to talk about Medicaid or anything else that’s on your mind. And don’t forget to check back later for more updates; I’m always adding new information to the site. Take care, and have a great day.