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The table below shows Medicaid’s monthly income limits by state for seniors. Income is not the only eligibility factor for Medicaid long-term care; there is also an asset limit and level of care requirement.
Illinois seniors must have limited income and assets, and a medical need to qualify for Medicaid long-term care. In 2024, a single Nursing Home Medicaid applicant must meet the following criteria: 1) Income under $1,215 / month 2) Assets under $17,500 3) Require a Nursing Home Level of Care.
MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid.
Income limits are based on family size. Available income limits below include single filers, families of 2 (senior couples and pregnant adults), and families of 4. The maximum amount a family can make monthly for the eligible members to qualify for Medicaid coverage.
In 2024, the individual income limit for Nursing Home Medicaid and Medicaid Waivers in most states is $2,829 / month ($33,948 / year). For Regular Medicaid, often called Aged, Blind and Disabled Medicaid, the income limit is generally either $943 / month ($11,316 / year) or $1,255 / month ($15,060 / year).
You may qualify for free or low-cost health care through Medicaid based on your income and family size. Eligibility rules differ among states. In all states, Medicaid gives health coverage to some individuals and families, including children, parents, people who are pregnant, elderly people with certain incomes, and people with disabilities.
In order to qualify for Medicaid, your income must be below the Medicaid income limit for your household size. Your household size is considered: Medicaid considers your status as a U.S. citizen or immigrant.
What is the highest income to qualify for Medicaid? Washington D.C. has the highest allowable income to qualify for Medicaid, at 215% of the FPL for individuals and 221% for a family of three. That means an individual in Washington D.C. can make up to $31,347 per year and still be eligible for Medicaid.
Medicaid is health care insurance program for families and individuals with low income and limited resources, whereas Medicare is federal program available to all seniors. For more details on the difference between Medicaid and Medicare, click here.
Almost every state has multiple Medicaid programs. But, as a good rule of thumb, if you make less than 100% to 200% of the federal poverty level (FPL) and are pregnant, elderly, disabled, a parent/caretaker or a child, there’s likely a program for you.