Medicaid eligibility in Nebraska is determined by income and family size. For a single person, the monthly income limit is $1,659. For a family of two, the limit is $2,238. For a family of three, the limit is $2,817. These limits are slightly higher for families with more members. Additionally, there are some exceptions to the income limits for people with disabilities, people who are pregnant, and people who are receiving certain types of assistance. To find out if you qualify for Medicaid, you can contact the Nebraska Department of Health and Human Services or visit their website.
Eligibility Guidelines for Medicaid in Nebraska
Medicaid is a government-sponsored health insurance program that provides medical coverage to individuals and families with low income and resources. In Nebraska, the Medicaid program is known as Nebraska Medicaid. To be eligible for Nebraska Medicaid, individuals must meet specific eligibility requirements, including income and resource limits.
Income Limits:
- For individuals, the monthly income limit is 138% of the Federal Poverty Level (FPL).
- For families, the monthly income limit varies depending on the number of family members.
Resource Limits:
- For individuals, the resource limit is $2,000.
- For families, the resource limit is $3,000.
Additional Eligibility Criteria:
- U.S. citizen or qualified non-citizen.
- Resident of Nebraska.
- Meet the categorical eligibility requirements, such as being aged, blind, or disabled.
Income Limit Table:
| Family Size | Monthly Income Limit |
|---|---|
| 1 | $1,932 |
| 2 | $2,589 |
| 3 | $3,246 |
| 4 | $3,903 |
| 5 | $4,560 |
| 6 | $5,217 |
| 7 | $5,874 |
| 8 | $6,531 |
Note:
- The income limits are subject to change annually.
- Individuals and families who meet the income and resource limits may still be eligible for Medicaid if they meet other eligibility criteria, such as being pregnant, being a child, or having a disability.
- To apply for Nebraska Medicaid, individuals can contact the Nebraska Department of Health and Human Services (DHHS) or visit the DHHS website.
Proof of Income Requirements for Medicaid Application
To determine if you qualify for Medicaid in Nebraska, you must provide proof of income. Acceptable forms of proof of income include:
- Pay stubs
- Bank statements
- Tax returns
- Social Security award letters
- Unemployment benefits statements
- Workers’ compensation benefits statements
- Pension or retirement benefits statements
- Alimony or child support payments statements
- Veteran’s benefits statements
- Disability benefits statements
If you are self-employed, you must provide a copy of your business license, a profit and loss statement, and a balance sheet. You may also need to provide a copy of your personal tax return.
The amount of income you can have and still qualify for Medicaid in Nebraska depends on your family size and the type of Medicaid coverage you are applying for.
| Family Size | Medicaid Type | Monthly Income Limit |
|---|---|---|
| 1 | Regular Medicaid | $1,713 |
| 2 | Regular Medicaid | $2,293 |
| 3 | Regular Medicaid | $2,873 |
| 4 | Regular Medicaid | $3,453 |
| 5 | Regular Medicaid | $4,033 |
| 6 | Regular Medicaid | $4,613 |
| 7 | Regular Medicaid | $5,193 |
| 8 | Regular Medicaid | $5,773 |
| Each additional person | Regular Medicaid | $580 |
If your income is above the limit for regular Medicaid, you may still qualify for Medicaid if you are pregnant, disabled, or have a child under the age of 19.
Monthly Income Limit for Medicaid in Nebraska
The monthly income limit for Medicaid in Nebraska determines an individual’s or family’s eligibility for Medicaid coverage. The income limit varies based on the applicant’s household size and type of Medicaid coverage sought.
Income Calculation Methods Under Medicaid Program
Nebraska Medicaid utilizes two primary methods to calculate income:
- Modified Adjusted Gross Income (MAGI): MAGI is a measure of income used for Medicaid eligibility determination. It is calculated by taking the household’s Adjusted Gross Income (AGI) from their most recent federal income tax return and applying specific adjustments.
- Net Income: Net income represents the household’s total income after deducting allowable expenses from their gross income. Examples of allowable expenses include certain work expenses, dependent care expenses, and child support payments.
The income limit for Medicaid in Nebraska varies based on the MAGI or net income method used and the household size. The program considers household size by using Federal Poverty Level (FPL) guidelines, which are updated annually.
Medicaid Income Limits in Nebraska
The following table provides an overview of Medicaid income limits in Nebraska for various household sizes:
| Household Size | MAGI Income Limit (100% FPL) | Net Income Limit (138% FPL)* |
|---|---|---|
| 1 | $1,556 | $2,134 |
| 2 | $2,094 | $2,881 |
| 3 | $2,633 | $3,627 |
| 4 | $3,171 | $4,374 |
| Each Additional Person | $538 | $747 |
*Net income limit applies to certain Medicaid programs, such as Aged, Blind, and Disabled (ABD) Medicaid.
For more information about Medicaid eligibility requirements, resources are available at the Nebraska Department of Health and Human Services website.
Monthly Income Limit for Medicaid in Nebraska
In Nebraska, the monthly income limit for Medicaid eligibility varies depending on the type of coverage and the applicant’s household size.
Resources Considered When Evaluating Income Eligibility
- Wages, salaries, tips, and commissions
- Self-employment income
- Social Security benefits
- Supplemental Security Income (SSI)
- Pensions and annuities
- Unemployment benefits
- Workers’ compensation
- Child support
- Alimony
- Rental income
- Interest and dividends
- Royalties
- Gifts and inheritances
- Lump-sum payments
In addition to income, Medicaid eligibility is also based on resources, which are defined as assets that can be converted into cash. Resources include:
- Cash on hand and in bank accounts
- Stocks and bonds
- Mutual funds
- Certificates of deposit (CDs)
- Retirement accounts (IRAs, 401(k)s, etc.)
- Real estate (other than primary residence)
- Vehicles (other than necessary transportation)
Some resources are exempt from Medicaid’s resource limits. These include:
- Burial plots
- Personal property, such as furniture, appliances, and clothing
- A homestead, up to a certain value
- Life insurance policies
- Prepaid funeral and burial contracts
- Vehicles used for essential transportation
The Nebraska Department of Health and Human Services (DHHS) offers Medicaid coverage to eligible low-income individuals, families, and children. Medicaid also provides coverage for people who are blind, disabled, or elderly. To apply for Medicaid, contact your local DHHS office. You can also apply online at the Nebraska Access website.
Monthly Income Limit for Medicaid in Nebraska
The following table shows the monthly income limits for Medicaid in Nebraska for different household sizes:
| Household Size | Monthly Income Limit |
|---|---|
| 1 | $1,563 |
| 2 | $2,110 |
| 3 | $2,658 |
| 4 | $3,205 |
| 5 | $3,753 |
| 6 | $4,300 |
| 7 | $4,848 |
| 8 | $5,395 |
If your income is higher than the limit for your household size, you may still be eligible for Medicaid if you have high medical expenses.
Thanks for sticking with me to the end; I hope I’ve given you a clearer picture of Medicaid income limits in Nebraska. If you still have questions, don’t hesitate to reach out to your local Medicaid office. And don’t forget to check back here for more updates and insights on Medicaid and other health-related topics. Your health and well-being are always at the forefront of our minds, so until next time, stay healthy and keep thriving!