Determining your Income Limit
How to Determine Your Monthly Maximum Income Limit (Family-Related Medicaid)
To determine your monthly maximum income limit, you must first determine:
- Your Coverage Group; and
- Your Family Size.
Step 2: Determine Your Family Size
To determine your Family Size, answer the following questions:
A. Are you a child who is not filing a tax return?
If YES, then your Family Size includes all of these individuals:
- You, and
- Your parents who live in the same household with you (including stepparents and adoptive parents), and
- Your siblings who live in the same household with you and are under 19 or are full-time students under 21. This includes stepsiblings, half-siblings, and adopted siblings.
Proceed to Step 3.
If NO, go to the next question.
B. Will a parent or spouse claim you as a dependent for the current tax year?
If YES, then your Family Size includes all of these individuals:
- You, and
- Your spouse, and
- The individual filing the tax return (also called the tax filer), and
- The tax filer’s spouse, and
- All of the tax filer’s other tax dependents.
Proceed to Step 3.
If NO, go to the next question.
C. Do you expect to file a tax return for the current tax year?
If YES, then your Family Size includes all of these individuals:
- You, and
- Your spouse, and
- Your tax dependents.
Proceed to Step 3.
If NO, then your Family Size includes all of these individuals:
- You, and
- Your spouse, if your spouse lives in the same household with you, and
- Any of your children who live in the same household with you and are under 19 or are full-time students under 21. This includes stepchildren and adopted children.
Step 3: Determine Your Maximum Monthly Income Limit
Once you know your Coverage Group and your Family Size, you can use this table to determine your maximum monthly income limit:
Family Size | Coverage Groups | ||||
Under | Ages | Ages | Ages | Pregnant Women | |
1 | $2,754 | $1,893 | $1,801 | $355 | $2,588 |
2 | $3,720 | $2,558 | $2,434 | $476 | $3,456 |
3 | $4,688 | $3,222 | $3,066 | $598 | $4,355 |
4 | $5,654 | $3,886 | $3,698 | $719 | $5,252 |
5 | $6,621 | $4,550 | $4,330 | $841 | $6,151 |
6 | $7,588 | $5,215 | $4,963 | $963 | $7,049 |
7 | $8,556 | $5,880 | $5,596 | $1,085 | $7,948 |
8 | $9,522 | $6,544 | $6,228 | $1,207 | $8,846 |
9 | $10,490 | $7,209 | $6,861 | $1,328 | $9,745 |
10 | $11,457 | $7,874 | $7,493 | $1,451 | $10,642 |
11 | $12,424 | $8,539 | $8,126 | $1,574 | $11,541 |
12 | $13,391 | $9,203 | $8,758 | $1,697 | $12,439 |
13 | $14,359 | $9,868 | $9,391 | $1,820 | $13,338 |
14 | $15,325 | $10,169 | $10,533 | $1,943 | $14,236 |
15 | $16,293 | $11,197 | $10,656 | $2,066 | $15,135 |
16 | $17,259 | $11,861 | $11,288 | $2,188 | $16,032 |
17 | $18,226 | $12,525 | $11,920 | $2,311 | $16,931 |
18 | $19,193 | $13,190 | $12,553 | $2,434 | $17,829 |
19 | $20,161 | $13,855 | $13,186 | $2,557 | $18,728 |
20 | $21,127 | $14,519 | $13,818 | $2,680 | $19,626 |
21 | $22,095 | $15,184 | $14,451 | $2,803 | $20,525 |
22 | $23,062 | $15,849 | $15,083 | $2,926 | $21,422 |
23 | $24,029 | $15,944 | $15,716 | $3,049 | $22,321 |
24 | $24,996 | $17,178 | $16,348 | $3,172 | $23,219 |
Effective April 2025
This webpage is provided for general informational purposes only. It does not constitute legal advice and should not be relied upon as a substituted for legal advice or for independent research into applicable law or policy. |