To qualify for Medicaid in Indiana, individuals must meet specific eligibility criteria. These criteria include age, income, and disability status. Children under the age of 19, pregnant women, and individuals with disabilities may be eligible for Medicaid coverage. Additionally, certain low-income adults may qualify for Medicaid coverage if they meet certain requirements. To determine eligibility, individuals should contact their local Medicaid office or visit the state’s Medicaid website for more information.
Medicaid Income Eligibility in Indiana
Medicaid is a joint federal and state program that provides health coverage to eligible low-income individuals and families. In Indiana, the Medicaid program is administered by the Family and Social Services Administration (FSSA).
To be eligible for Medicaid in Indiana, you must meet certain income and asset limits. The income limits are based on the federal poverty level (FPL). The FPL is a measure of poverty that is used to determine eligibility for many government programs. The asset limits are also based on the FPL.
Income Limits
| Category | 100% FPL Income Limit | 138% FPL Income Limit |
|---|---|---|
| Individuals | $12,760 | $17,657 |
| Families of 2 | $17,240 | $23,619 |
| Families of 3 | $21,720 | $29,581 |
| Families of 4 | $26,200 | $35,543 |
If your income is at or below the income limits, you may be eligible for Medicaid. However, there are some other factors that can affect your eligibility, such as your age, disability status, and pregnancy status.
Asset Limits
- For individuals, the asset limit is $2,000.
- For couples, the asset limit is $3,000.
- For families with children, the asset limit is $4,000.
Assets that are not counted towards the asset limit include:
- Your home and the land it is on
- One vehicle
- Personal belongings
- Retirement accounts
If you meet the income and asset limits, you may be eligible for Medicaid. To apply for Medicaid, you can contact your local FSSA office or apply online.
Medicaid Eligibility in Indiana: Special Circumstances
In addition to the general eligibility criteria, there are a number of special circumstances that may make an individual or family eligible for Medicaid in Indiana. These include:
Pregnant Women and Children
- Pregnant women with incomes up to 185% of the federal poverty level (FPL) are eligible for Medicaid.
- Children under 19 years of age with incomes up to 133% of the FPL are eligible for Medicaid.
- Children who are eligible for Supplemental Security Income (SSI) are also eligible for Medicaid.
People with Disabilities
- Individuals with disabilities who are receiving SSI are eligible for Medicaid.
- Individuals with disabilities who are not receiving SSI may be eligible for Medicaid if they meet the income and asset limits.
People Living in Nursing Homes
- Individuals who are living in nursing homes and who meet the income and asset limits are eligible for Medicaid.
- Individuals who are not eligible for Medicaid may be able to get help paying for nursing home care through a Medicaid waiver program.
People with End-Stage Renal Disease (ESRD)
- Individuals with ESRD who are receiving dialysis or a kidney transplant are eligible for Medicaid.
- Individuals with ESRD who are not receiving dialysis or a kidney transplant may be eligible for Medicaid if they meet the income and asset limits.
Other Special Circumstances
- Individuals who are homeless may be eligible for Medicaid.
- Individuals who are victims of domestic violence or sexual assault may be eligible for Medicaid.
- Individuals who are fleeing persecution in their home country may be eligible for Medicaid.
The following table provides a summary of Medicaid eligibility criteria for individuals and families in Indiana:
| Group | Income Limit | Asset Limit |
|---|---|---|
| Pregnant Women | 185% of FPL | $2,000 |
| Children under 19 | 133% of FPL | $2,000 |
| People with Disabilities | SSI recipient or meet income and asset limits |
$2,000 |
| People Living in Nursing Homes | Meet income and asset limits | $2,000 |
| People with ESRD | Receiving dialysis or kidney transplant or meet income and asset limits |
$2,000 |
For more information on Medicaid eligibility in Indiana, please visit the Indiana Medicaid website or contact your local Medicaid office.
Eligibility Based on Disability
In Indiana, Medicaid provides health coverage to individuals with disabilities who meet certain income and resource limits. To qualify for Medicaid based on disability, you must:
- Be a U.S. citizen or a qualified immigrant.
- Be a resident of Indiana.
- Have a disability that is expected to last at least 12 months or result in death.
- Meet the income and resource limits.
Income Limits
The income limits for Medicaid based on disability in Indiana are as follows:
| Family Size | Income Limit |
|---|---|
| 1 | $2,523 |
| 2 | $3,362 |
| 3 | $4,199 |
| 4 | $5,035 |
| 5 | $5,870 |
| 6 | $6,706 |
| 7 | $7,541 |
| 8 | $8,375 |
| Each additional person | $734 |
The income limits are adjusted each year.
Resource Limits
The resource limits for Medicaid based on disability in Indiana are as follows:
- $2,000 for individuals
- $3,000 for couples
Resources include cash, bank accounts, stocks, bonds, and real estate. Certain resources, such as a home and a car, are not counted.
Applying for Medicaid
To apply for Medicaid based on disability in Indiana, you can:
- Apply online at the Indiana Family and Social Services Administration (FSSA) website.
- Call the FSSA at 1-800-403-0864.
- Visit your local FSSA office.
You will need to provide proof of your identity, income, resources, and disability.
Pregnancy and Medicaid Eligibility
In Indiana, pregnant women are eligible for Medicaid coverage if they meet certain income and residency requirements. The income limit for pregnant women is 300% of the federal poverty level (FPL). This means that a pregnant woman who earns less than $3,690 per month is eligible for Medicaid coverage.
Pregnant women who are not eligible for Medicaid may be able to get coverage through the Children’s Health Insurance Program (CHIP). CHIP is a federal program that provides health insurance to children and pregnant women who do not qualify for Medicaid. The income limit for CHIP is 200% of the FPL. This means that a pregnant woman who earns less than $2,460 per month may be eligible for CHIP coverage.
Pregnant women who are eligible for Medicaid or CHIP coverage can get a variety of health care services, including:
- Prenatal care.
- Labor and delivery.
- Postpartum care.
- Well-child care.
- Immunizations.
- Dental care.
- Vision care.
Medicaid and CHIP coverage can help pregnant women get the health care they need to stay healthy and have a healthy baby. To apply for Medicaid or CHIP coverage, pregnant women can contact the Hoosier Healthwise program at 1-800-403-0863.
To summarize the Medicaid eligibility criteria for pregnant women in Indiana:
| Eligibility Criteria | Requirement |
|---|---|
| Income Limit | Less than 300% of the federal poverty level (FPL) |
| Residency | Must be a resident of Indiana |
Pregnant women who meet these criteria are eligible for Medicaid coverage in Indiana. Medicaid coverage can help pregnant women get the health care they need to stay healthy and have a healthy baby.
That’s about all there is to knowing who qualifies for Medicaid in Indiana. Thanks for reading and I hope this article has been helpful. If you have any further questions or want to know more in the future, feel free to check out our website again. There is a lot more information about Medicaid and other healthcare programs available in Indiana. Thanks again for reading. Be sure to let us know if there is anything else we can help you with.