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 | $2,807 | $1,930 | $1,836 | $356 | $2,608 |
2 | $3,807 | $2,617 | $2,490 | $478 | $3,537 |
3 | $4,805 | $3,302 | $3,142 | $600 | $4,463 |
4 | $5,803 | $3,989 | $3,796 | $723 | $5,391 |
5 | $6,803 | $4,676 | $4,450 | $846 | $6,320 |
6 | $7,801 | $5,361 | $5,102 | $968 | $7,246 |
7 | $8,800 | $6,048 | $5,756 | $1,091 | $8,175 |
8 | $9,799 | $6,735 | $6,409 | $1,214 | $9,103 |
9 | $10,798 | $7,421 | $7,062 | $1,335 | $10,030 |
10 | $11,796 | $8,107 | $7,715 | $1,459 | $10,958 |
11 | $12,795 | $8,794 | $8,369 | $1,583 | $11,886 |
12 | $13,794 | $9,479 | $9,021 | $1,706 | $12,813 |
13 | $14,792 | $10,166 | $9,675 | $1,830 | $13,741 |
14 | $15,792 | $10,852 | $10,328 | $1,954 | $14,670 |
15 | $16,790 | $11,538 | $10,981 | $2,077 | $15,596 |
16 | $17,788 | $12,225 | $11,634 | $2,201 | $16,524 |
17 | $18,788 | $12,912 | $12,288 | $2,325 | $17,453 |
18 | $19,786 | $13,597 | $12,940 | $2,448 | $18,379 |
19 | $20,784 | $14,284 | $13,594 | $2,572 | $19,307 |
20 | $21,784 | $14,970 | $14,247 | $2,696 | $20,236 |
21 | $22,782 | $15,656 | $14,900 | $2,819 | $21,162 |
22 | $23,781 | $16,342 | $15,553 | $2,943 | $22,091 |
23 | $24,780 | $17,030 | $16,207 | $3,067 | $23,019 |
24 | $25,779 | $17,715 | $16,859 | $3,190 | $23,946 |
Effective April 2026
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. |