Addendum 1
MAGI Medicaid Income Standards
Parents and Caretaker Relatives and Under 21 - COLA based
*These income standards are updated each year on January 1st
(if there is a Social Security Cost of Living Adjustment)
Household Size |
Monthly Income Limit |
1 |
1,767 |
2 |
2,752 |
3 |
3,292 |
4 |
3,831 |
5 |
4,368 |
6 |
4,907 |
7 |
5,444 |
8 |
5,981 |
9 |
6,524 |
10 |
7,060 |
Each additional person |
508 |
Expansion Group - 133% of the Federal Poverty Level
*These income standards are updated each year on April 1st
Household Size |
Monthly Income Limit |
1 |
2,085 |
2 |
2,831 |
3 |
3,577 |
4 |
4,323 |
5 |
5,069 |
6 |
5,815 |
7 |
6,561 |
8 |
7,307 |
9 |
8,053 |
10 |
8,799 |
Each additional person |
746 |
Pregnant Women - 200% of the Federal Poverty Level
*These income standards are updated each year on April 1st
Household Size |
Monthly Income Limit |
1 |
n/a |
2 |
4,257 |
3 |
5,379 |
4 |
6,500 |
5 |
7,622 |
6 |
8,744 |
7 |
9,865 |
8 |
10,987 |
9 |
12,109 |
10 |
13,231 |
Each additional person |
1,122 |
Pregnant Women - 225% of the Federal Poverty Level
*These income standards are updated each year on April 1st
Household Size |
Monthly Income Limit |
1 |
n/a |
2 |
4,789 |
3 |
6,051 |
4 |
7,313 |
5 |
8,575 |
6 |
9,837 |
7 |
11,099 |
8 |
12,360 |
9 |
13,622 |
10 |
14,884 |
Each additional person |
1,262 |
Children Under Age 19 With Insurance - 177% of the Federal Poverty Level
*These income standards are updated each year on April 1st
Household Size |
Monthly Income Limit |
1 |
2,775 |
2 |
3,768 |
3 |
4,760 |
4 |
5,753 |
5 |
6,746 |
6 |
7,738 |
7 |
8,731 |
8 |
9,724 |
9 |
10,717 |
10 |
11,710 |
Each additional person |
993 |
Children Under Age 19 Without Insurance - 203% of the Federal Poverty Level
*These income standards are updated each year on April 1st
Household Size |
Monthly Income Limit |
1 |
3,183 |
2 |
4,321 |
3 |
5,460 |
4 |
6,598 |
5 |
7,736 |
6 |
8,875 |
7 |
10,013 |
8 |
11,152 |
9 |
12,291 |
10 |
13,430 |
Each additional person |
1,139 |
MAGI Income Disregards - 5% of the Federal Poverty Level
*These income disregards are updated each year on April 1st
Household Size |
Disregard |
1 |
79 |
2 |
107 |
3 |
135 |
4 |
163 |
5 |
191 |
6 |
219 |
7 |
247 |
8 |
275 |
9 |
304 |
10 |
333 |
Each additional person |
29 |
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