Medicaid eligibility is determined by several factors and can be complicated. There are several different Medicaid programs, each with slightly different eligibility requirements. Please review all of the eligibility information, and if you think you may be eligible, the best thing to do is apply. While different Medicaid programs have different eligibility criteria, the four main things used to determine eligibility are:
- Income and Family Size: Household income includes earned income (such as wages from a job) and unearned income (such as Social Security Disability payments). Income limits are based on the number of people in your family. Your income is the amount before taxes, not take-home pay.
- Age: Eligibility can be based on age. Certain programs are designed for people in specific age groups.
- Resources and Assets: Certain things you own may be taken into consideration when determining eligibility. Different programs count different resources and assets. Resources and assets are not counted for certain groups, such as children, pregnant women, and former foster children up to age 26.
- Medical Needs: Specific medical needs may determine your eligibility, or they may also determine which program can best serve your needs. Some programs are designed to meet specific medical needs.
What Program Might be Right for Me?
You can go to the Eligibility Guide to get detailed information on eligibility.
You can learn more about the application process by going to Apply for Medicaid.
If your income is too high to qualify for Indiana Medicaid, you may be eligible for subsidized health coverage through the federal Health Insurance Marketplace, found online at www.healthcare.gov. Depending on your income and family size, you may qualify for a tax credit that can help you pay the cost of your health insurance.
Go to www.IN.gov/healthcarereform to find a self screening tool that will help you determine if the Health Insurance Marketplace is the most likely place for you to qualify for health coverage programs.