Who qualifies for Medicaid in 2025? Discover eligibility requirements, income limits, and what health services Medicaid covers for low-income individuals and families.
👇 Click below to check Medicaid eligibility and apply in your state.
What Is Medicaid?
Medicaid is a joint federal and state health insurance program for individuals and families with low income and limited resources. It offers free or low-cost health coverage and helps millions of Americans receive care they couldn’t otherwise afford.
Who Qualifies for Medicaid in 2025?
Medicaid eligibility is based on income, household size, age, disability status, and state-specific rules. Each state manages its own Medicaid program under federal guidelines.
Common groups that may qualify:
- ✅ Low-income adults (including single adults in expansion states)
- ✅ Children and pregnant women
- ✅ People with disabilities
- ✅ Seniors with limited income and assets
- ✅ Medicare beneficiaries who need additional help (dual eligible)
Income Limits (2025 Estimated)
Income limits vary by state and eligibility category. As a general guide, here are example thresholds for Medicaid expansion states:
| Household Size | Maximum Annual Income (138% FPL) |
|---|---|
| 1 | Up to $20,783 |
| 2 | Up to $28,208 |
| 3 | Up to $35,632 |
| 4 | Up to $43,056 |
*Based on 2025 Federal Poverty Level (FPL) guidelines. Your state may have different limits.
What Services Does Medicaid Cover?
Medicaid covers a wide range of health services, often at no cost:
- Doctor visits, hospital care, emergency services
- Prescription drugs
- Lab tests, x-rays, mental health care
- Pregnancy and maternity care
- Long-term care (e.g., nursing homes, personal care)
- Dental and vision (in some states)
Dual Eligibility: Medicaid + Medicare
If you qualify for both Medicare and Medicaid, you're considered “dual eligible”. Medicaid can help cover:
- Medicare Part A and B premiums
- Deductibles and copayments
- Additional services not covered by Medicare
How to Apply for Medicaid
You can apply for Medicaid at any time through:
- Your state’s Medicaid office or website
- HealthCare.gov
- In-person at a local enrollment center or by phone
Summary: Medicaid Eligibility 2025
- ✅ Income-based health coverage for low-income individuals and families
- ✅ Covers children, adults, seniors, people with disabilities
- ✅ Income limits vary by household size and state
- 💡 Dual eligible beneficiaries receive full support
