What is the maximum income eligibility for Medicaid?

by | Oct 27, 2023 | Spousal IRA | 6 comments

What is the maximum income eligibility for Medicaid?




Medicaid has very strict requirements regarding income and assets an applicant is allowed to have. What are those limits? Can you become eligible for Medicaid even if your income is higher than the limit? Watch our video to find out!

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How Much Income Can You Have for Medicaid?

Medicaid is a government-funded program that aims to provide healthcare coverage to individuals with limited income and resources. Each state has its own specific guidelines and eligibility requirements for Medicaid, including income limits. Understanding how much income you can have for Medicaid is crucial in determining whether you qualify for this essential program.

Medicaid income limits vary from state to state, as they are often based on the Federal Poverty Level (FPL) guidelines. The FPL is issued annually by the Department of Health and Human Services and takes into account family size and income to determine eligibility for various government assistance programs.

Generally, Medicaid income limits are based on a percentage of the FPL, typically ranging from 100% to 138%. However, it is important to note that a few states have expanded Medicaid income limits beyond the 138% threshold under the Affordable Care Act.

For example, in states that have not expanded Medicaid, the income limit is usually set at 100% of the FPL. This equates to an annual income of approximately $12,880 for an individual or $26,500 for a family of four in 2021. Meanwhile, in states that have fully expanded Medicaid, the income limit could be up to 138% of the FPL, which is around $17,774 for an individual or $36,570 for a family of four in 2021.

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It is worth noting that some states may have different income counting methodologies that take into account deductions or disregards, which can affect eligibility. Additionally, certain groups, such as pregnant women, infants, children, seniors, and individuals with disabilities, may have separate income limits, often higher than those for the general population.

It is crucial to check with your state’s Medicaid office or explore online resources to obtain the most accurate and up-to-date information regarding income limits. These resources will provide detailed instructions on how to calculate income and the specific documents required to apply for Medicaid.

In cases where your income exceeds the state’s Medicaid income limit, some states offer Medicaid spend-down programs or medically needy programs. These programs allow individuals with high medical expenses to qualify for Medicaid by using their excess income to pay for medical bills.

To apply for Medicaid, you will generally need to complete an application form, provide relevant documents, such as proof of U.S. citizenship or legal immigration status, income verification, and other necessary paperwork. It is advisable to seek assistance from the Medicaid office or community organizations that specialize in helping individuals navigate the application process.

In conclusion, the income limits for Medicaid vary across states and are usually based on the FPL guidelines. It is essential to be aware of these limits to determine your eligibility for this vital healthcare assistance program. By researching the specific income limits in your state and understanding the application process, you can take important steps towards accessing healthcare coverage through Medicaid.

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6 Comments

  1. A. JAY

    You didnt say the "HOW MUCH " PART.

  2. Elizabeth Bettie Elias

    You should mention Medicaid buy in for working adults with disabilities and HCBS

  3. LKSS100583

    My mother-in-law fractured her arm in June 2023. She went to the Emergency Department. Now she has this huge hospital bill. Her Medicare didn’t start until July 2023 (since that’s when she turned 65) and they said they don’t retropay and only MediCal does. She has $60k in her savings account as her only asset, plus what she gets from SSI which is about $900/month. Does this $130k asset limit apply for hospital bills or just disabled patients?

  4. Adina

    About Vote Democrat if you want to keep medicaid and medicare and food stamps they want to do away with dollar that the The republicans do just research it and see what bills they voted against

  5. Harry Harmon

    Eliminate Medicaid
    VOTE REPUBLICAN

  6. Blanca Menjivar

    If I’m a single mother’s with a 2 kids how much can be my income to cualify?

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