Medicaid Eligibility Calculators
You may qualify for Medicaid if you live in the state, meet citizenship or immigration rules, and your income is within the limit for your group. People, parents, children, pregnant people, seniors and people with disabilities all have different limits.
Eligibility by group
| Group | Typical test | Asset test? |
|---|---|---|
| People 19–64 | 138% FPL in expansion states | No |
| Parents | Set by state, at least the expansion limit where adopted | No |
| Pregnant people | 133%–319% FPL plus 5% disregard | No |
| Children | Medicaid or CHIP, often 200%–300% FPL | No |
| Age 65+ | Often SSI-based | Usually |
| Disability | Often SSI-based | Usually |
Examples
- Single person in Illinois earning $1,800 a month: under the $1,835 limit, so likely eligible.
- Single person in Texas earning $1,000 a month: unlikely, because Texas has not expanded Medicaid.
- Pregnant person in Texas in a household of three, earning $3,500 a month: likely, under the published limit of 203% including the disregard, which is about $4,622 a month.
Automatic routes
In most states, SSI recipients qualify automatically or through a simple application. Newborns of mothers on Medicaid are deemed eligible for their first year. Children in foster care are also covered.
Next step
Use the Medicaid eligibility calculator, or read about income limits by state and how to apply.
Non-financial requirements
You must live in the state where you apply and meet citizenship or immigration rules. You generally need to give a Social Security number if you have one. For most people aged 19–64, there's no minimum work history. Starting in 2027, most expansion enrollees will have work or activity rules unless exempt.
How household size works
Your household usually follows your tax filing. If you file taxes, count yourself, your spouse if you live together and your dependents. Special rules apply to non-filers, children living with a non-custodial parent and pregnant people, who count each expected baby.
Income and assets
Most groups use MAGI and have no asset test. Seniors and people with disabilities often have both income and asset tests, with some income ignored. If your income is too high, a medically needy or spend-down program may let you subtract medical bills, in states that offer it.
Special groups
- Former foster youth: those who aged out on Medicaid can generally stay covered until 26.
- Working people with disabilities: many states have buy-in programs.
- People with breast or cervical cancer: most states have a screening-based pathway.
- Dual eligibles: Medicare Savings Programs help with Medicare costs.
Try the free Medicaid eligibility calculator.
