Medicaid Eligibility Calculator 2025

Check if you qualify for free or low-cost health coverage

Free to use
Instant results
2025 updated

Check Your Medicaid Eligibility

Fill out the form below to see if you qualify for Medicaid coverage.

Medicaid rules vary significantly by state

Include all people who live together and share income/resources

Include wages, Social Security, pensions, and other income sources

Age affects eligibility for different Medicaid categories

Disability status can affect income limits and eligibility

Pregnant women often have higher income limits

Your information is never stored or shared

About Medicaid

What is Medicaid?

Medicaid is a joint federal and state program that provides free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

  • Free or low-cost health coverage
  • Covers doctor visits, hospital stays, prescriptions
  • No monthly premiums for most people
  • Low or no copayments for services
  • Comprehensive health benefits

Eligibility Categories

Medicaid eligibility is based on several factors:

  • Children: Up to 138% of Federal Poverty Level
  • Pregnant Women: Up to 138% FPL in expansion states
  • Adults: Up to 138% FPL in expansion states only
  • Disabled: Up to 100% FPL in most states
  • Seniors: Up to 100% FPL in most states

2025 Federal Poverty Level

Medicaid income limits are based on the Federal Poverty Level (FPL). For 2025:

$1,240

1 Person Monthly

$1,677

2 People Monthly

$2,114

3 People Monthly

$2,551

4 People Monthly

$2,988

5 People Monthly

$3,425

6 People Monthly

Frequently Asked Questions

What's the difference between Medicaid and Medicare?

Medicaid is a needs-based program for low-income individuals and families, while Medicare is primarily for people 65 and older regardless of income. Medicaid covers more services and has lower out-of-pocket costs.

Can I have both Medicaid and private insurance?

Yes, you can have both. Medicaid will typically pay for costs that your private insurance doesn't cover, such as copayments, deductibles, and services not covered by your private plan.

How do I apply for Medicaid?

You can apply for Medicaid in several ways:

  • Online through Healthcare.gov
  • Through your state's Medicaid office
  • In person at a local office
  • By phone with your state's hotline

What documents do I need to apply?

You'll typically need:

  • Proof of identity and citizenship
  • Social Security numbers
  • Proof of income
  • Proof of residency