How Do You Find Out If You Are Eligible for Medicaid?


Quick Answer

To assess Medicaid eligibility, visit the Health Insurance Marketplace to answer some income and household questions, according to HealthCare.gov. If you qualify, the site guides you to an application. The site also informs you if your family qualifies for the Children's Health Insurance Program.

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Full Answer

Qualification for Medicaid depends in part on whether your state of residence expanded its Medicaid program to cover a larger portion of the population after the passage of the Affordable Care Act, as HealthCare.gov reports. All states have some form of Medicaid coverage based on income, family size, disability and other factors, but the eligibility rules vary among states. States that expanded Medicaid coverage base eligibility solely on income and family size. You can find out if your state has expanded Medicaid coverage by clicking a link on HealthCare.gov's Medicaid & CHIP page.

As of 2015, if your state has expanded Medicaid coverage and you make $16,243 as an individual applicant or $33,465 as a family of four, you likely qualify for Medicaid coverage, according to HealthCare.gov. If you make more than these amounts, you have the option to purchase private insurance through the Health Insurance Marketplace and may qualify for tax credits that lower monthly premiums and out-of-pocket costs. For states without expanded Medicaid coverage, there are fewer options for low-cost health insurance, but you may still qualify for Medicaid based on the specific state's prerequisites.

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