Understanding Medicaid Eligibility
Medicaid is a government program that provides health coverage to low-income individuals and families. If you’re considering applying for Medicaid, you might be wondering how much money you can make and still qualify. The answer depends on various factors, including your income, household size, and the state you reside in.
Income Limits for Medicaid Eligibility
The income limits for Medicaid eligibility vary by state, as each state has the flexibility to set its own guidelines. However, there are some general rules to follow. For individuals, the income limit is typically at or below 138% of the federal poverty level (FPL). For a family of four, this would be around $35,535 per year.
Here’s a breakdown of the income limits for Medicaid eligibility based on household size and income level:
| Household Size | Income Limit (138% FPL) |
|---|---|
| 1 | $17,609 |
| 2 | $23,834 |
| 3 | $30,059 |
| 4 | $35,535 |
| 5 | $40,660 |
| 6 | $45,786 |
| 7 | $50,911 |
| 8 | $56,037 |
Medicaid Income Calculation
When determining your income for Medicaid eligibility, it’s essential to consider all sources of income. This includes wages, salaries, tips, unemployment benefits, Social Security benefits, and any other forms of monetary compensation. Additionally, some states may also consider assets, such as savings and investments, when determining eligibility.
However, it’s important to note that not all income is counted towards Medicaid eligibility. For example, certain types of income, such as food stamps, Supplemental Security Income (SSI), and Temporary Assistance for Needy Families (TANF), are not considered when calculating your income limit.
Medicaid Expansion and Income Limits
Some states have expanded their Medicaid programs to cover individuals with higher income levels. These states, known as Medicaid expansion states, have income limits that are higher than the federal guidelines. As of 2021, 37 states, including the District of Columbia, have expanded their Medicaid programs.
Here’s a table showing the income limits for Medicaid expansion states:
| State | Income Limit (138% FPL) |
|---|---|
| California | $50,860 |
| Colorado | $50,860 |
| Connecticut | $50,860 |
| Delaware | $50,860 |
| Illinois | $50,860 |
| Indiana | $50,860 |
| Arkansas | $50,860 |
| California | $50,860 |
| Colorado | $50,860 |
| Connecticut | $50,860 |