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What are the Medicaid income limits?

Medicaid is a government program to help with healthcare costs.

Medicaid

But what are the eligibility requirements?


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Who qualifies?

Medicaid provides coverage for over 72.5 million Americans. There are three main groups of people who qualify. Read more about it here.

There is financial eligibility, non-financial factors, and medically needy programs in some states. Medicaid program qualifications change from state to state. However, each case is based in the Federal Poverty Level(FPL).

In 2022, the Federal Poverty Level is $13,590. Qualifications are:

  • Income above 400% FPL: Income above 400% FPL, you might qualify for premium tax credits that lower your monthly premium.
  • Income between 100% and 400% FPL: Income in this range, in all states, you qualify for premium tax credits that lower your monthly premium.
  • Income at or below 150% FPL: If your income is in this range, you’re not eligible for Medicaid. You may qualify to enroll in Marketplace coverage.
  • Income  below 138% FPL: If you live in a state where Medicaid coverage has bee expanded, you’ll qualify based on your income.
  • Income below 100% FPL: You likely won’t qualify for for savings on a Marketplace health insurance plan or for income-based Medicaid.


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