Medicaid is a government program that provides health insurance to people who meet financial and non-financial requirements. In Michigan, Medicaid offers healthcare coverage to low-income families, children and teens, elderly individuals, and people with disabilities. People who receive Supplemental Security Income (SSI) or Temporary Assistance for Needy Families (TANF) are automatically eligible for Medicaid in Michigan. Women who are pregnant and meet the income guidelines are also eligible, along with children under 19 years old whose families meet the income limits. Additionally, people with certain disabilities or medical conditions may be eligible for Medicaid coverage, regardless of their income.
Medicaid Coverage Groups
Medicaid is a health insurance program for 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, you must meet certain income and resource requirements.
- Pregnant Women: Pregnant women with incomes up to 138% of the federal poverty level (FPL) are eligible for Medicaid.
- Children: Children under the age of 19 with incomes up to 138% of the FPL are eligible for Medicaid.
- Parents and Caregivers: Parents and caregivers of children under the age of 19 who meet the income and resource requirements are eligible for Medicaid.
- Adults with Disabilities: Adults with disabilities who meet the income and resource requirements are eligible for Medicaid.
- Seniors: Seniors aged 65 and older who meet the income and resource requirements are eligible for Medicaid.
- Other Eligible Individuals: Other individuals who may be eligible for Medicaid include people who are blind, disabled, or receiving Supplemental Security Income (SSI).
Income and resource limits vary depending on the type of Medicaid coverage. For more information about Medicaid eligibility in Michigan, visit the MDHHS website or call the MDHHS Medicaid Help Line at 1-800-642-3195.
| Category | Income Limit (% of FPL) |
|---|---|
| Pregnant Women | 138% |
| Children Under 19 | 138% |
| Parents and Caregivers | 138% |
| Adults with Disabilities | 138% |
| Seniors Aged 65 and Older | 138% |
Medicaid is a health insurance program for people with low incomes. In Michigan, Medicaid is called Medicaid Health Plans.
Income and Asset Limits
To be eligible for Medicaid in Michigan, you must meet certain income and asset limits.
Income Limits
The income limits for Medicaid in Michigan vary depending on the type of coverage you are applying for.
- For adults without children, the income limit is 138% of the federal poverty level (FPL).
- For families with children, the income limit is 206% of the FPL.
- For pregnant women, the income limit is 185% of the FPL.
- For people with disabilities, the income limit is 138% of the FPL.
Asset Limits
The asset limits for Medicaid in Michigan are also different depending on the type of coverage you are applying for.
- For adults without children, the asset limit is $2,000.
- For families with children, the asset limit is $3,000.
- For pregnant women, the asset limit is $2,000.
- For people with disabilities, the asset limit is $2,000.
Table of Income and Asset Limits
| Type of Coverage | Income Limit | Asset Limit |
|---|---|---|
| Adults without children | 138% of FPL | $2,000 |
| Families with children | 206% of FPL | $3,000 |
| Pregnant women | 185% of FPL | $2,000 |
| People with disabilities | 138% of FPL | $2,000 |
If you meet the income and asset limits, you may be eligible for Medicaid in Michigan. To apply for Medicaid, you can visit the Michigan Department of Health and Human Services website or contact your local Medicaid office.
Residency and Citizenship Requirements
To be eligible for Medicaid in Michigan, you must meet the following residency and citizenship requirements:
Residency
- You must be a resident of Michigan.
- You must have lived in Michigan for at least 12 months, unless you meet an exception.
Exceptions to the Residency Requirement
- You are applying for Medicaid for pregnant women or children under age 19.
- You are a member of an American Indian tribe that resides in Michigan.
- You are an individual with a disability who moved to Michigan from another state to receive medical care.
- You are a refugee or asylee.
Citizenship
To qualify for Michigan Medicaid, one must be a U.S. citizen (born in the U.S. or naturalized) or a lawfully admitted resident (e.g., those with green cards).
Other Groups Eligible for Medicaid in Michigan
- Pregnant women with income up to 138% of the federal poverty level (FPL)
- Children under age 19 with income up to 138% of FPL
- Parents and caretaker relatives with income up to 115% of FPL
- People with disabilities with income up to 138% of FPL
- People age 65 and older with income up to 138% of FPL
- People who are blind with income up to 138% of FPL
| Group | Income Limit (% of FPL) |
|---|---|
| Pregnant women | 138% |
| Children under age 19 | 138% |
| Parents and caretaker relatives | 115% |
| People with disabilities | 138% |
| People age 65 and older | 138% |
| People who are blind | 138% |
Eligibility Criteria for Medicaid in Michigan: Disability and Medical Conditions
Medicaid is a government-sponsored health insurance program that provides coverage to individuals and families with low incomes and limited resources. In Michigan, Medicaid is administered by the Department of Health and Human Services (DHHS). To qualify for Medicaid in Michigan, individuals must meet certain eligibility criteria, including disability and medical conditions.
Disability
- Individuals who are blind, disabled, or have a disability-related condition may be eligible for Medicaid.
- Disability is defined as a physical or mental impairment that prevents an individual from performing substantial gainful activity (SGA).
- To be eligible for Medicaid based on disability, individuals must meet the Social Security Administration’s (SSA) definition of disability.
- Individuals who are approved for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) are automatically eligible for Medicaid.
- Individuals who do not receive SSDI or SSI may still be eligible for Medicaid if they meet the SSA’s disability criteria.
Medical Conditions
Individuals with certain medical conditions may also be eligible for Medicaid. Some common medical conditions that may qualify individuals for Medicaid include:
- Cancer
- Heart disease
- Stroke
- Diabetes
- HIV/AIDS
- Kidney disease
- Multiple sclerosis
- Mental illness
- Substance use disorder
To determine eligibility for Medicaid based on a medical condition, DHHS will consider the severity of the condition, the individual’s income and resources, and other factors.
| Income Limit | Resource Limit | |
|---|---|---|
| Individuals | $1,694 per month | $2,000 |
| Couples | $3,388 per month | $3,000 |
| Families of three | $4,082 per month | $4,000 |
Please note that these income and resource limits are subject to change. For the most up-to-date information, please visit the Michigan DHHS website.
Individuals who meet the eligibility criteria for Medicaid in Michigan may apply for coverage online, by mail, or in person at their local DHHS office.
Thanks for sticking with me through this exploration of Medicaid eligibility in Michigan. I know it can be a lot to take in, but hopefully, now you have a better understanding of who qualifies and how to apply. If you have any other questions or need more information, don’t hesitate to reach out to your local Medicaid office. And be sure to check back here soon for more updates and insights on all things health insurance and finance-related because, trust me, you don’t want to miss what’s coming next. Until then, stay informed and stay healthy, folks!