Medicaid Eligibility: Income Limits and How to Apply

Medicaid provides free or low-cost health coverage to eligible low-income adults, children, pregnant women, elderly individuals, and people with disabilities. Income limits vary by state, but in expansion states, adults earning up to 138% of the federal poverty level ($20,783 for an individual in 2025) generally qualify. Application is available year-round through your state Medicaid office or Healthcare.gov.

What You Need to Know

Health insurance can be confusing, with terms and rules that vary by plan type, state, and employer. Understanding medicaid eligibility is essential for making informed decisions about your healthcare coverage and managing your medical expenses effectively.

Related Insurance Topics

Understanding medicaid eligibility is closely connected to these other insurance concepts:

• Medicare Parts A, B, C, and D Explained — Medicare is a federal health insurance program for people 65 and older or with certain disabilities.
• Open Enrollment: When and How to Choose Your Health Plan — Open enrollment is the annual period when you can enroll in, switch, or change your health insurance plan.
• Preventive Care: Services Covered at No Cost to You — Under the ACA, all marketplace plans must cover certain preventive services at no cost when provided by an in-network provider — no copay, coinsurance, or deductible applies.

Need Help Understanding Your Coverage?

GProv's insurance hub helps you navigate your health insurance benefits, understand your costs, and make the most of your coverage. Our AI health navigator, Appi, can answer specific questions about insurance terminology and help you understand what your plan covers.