Q:

What are the income guidelines for Medicaid recipients?

A:

Quick Answer

The U.S. government set federal income guidelines for Medicaid recipients at 133 percent of the poverty level, according to Medicaid.gov. For families of five to qualify for Medicaid, they should earn $3,148.78 or less per month in the contiguous United States during 2015.

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Full Answer

A single person in the contiguous United States qualifies for Medicaid under the Affordable Care Act if he earns $15,654.10 or less in 2015, states Medicaid.gov. A couple qualifies if they earn $21,186.90 or less in 2015, while a family of eight qualifies if they earn $54,383.70 or less. The federal government recalculates the new poverty level, and consequently the Medicaid income requirements, each year.

Due to the high cost of living, residents of Alaska and Hawaii have higher income limits, notes Medicaid.gov. In Alaska, a single person can earn up to $19,577.60 in 2015, while that same person in Hawaii could only earn $18,021.50 to remain eligible for Medicaid.

Not all states approved the Medicaid expansion under the ACA. As of February 2015, 24 states and the District of Columbia expanded Medicaid, while an additional five states seek to expand it through a Section 1115 waiver, notes the Kaiser Family Foundation. Families who live in states without Medicaid expansion and make 100 percent or more of the federal poverty level can purchase health insurance through the federal Marketplace, according to HealthCare.gov.

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