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 |
1,808 |
2 |
2,814 |
3 |
3,364 |
4 |
3,912 |
5 |
4,459 |
6 |
5,008 |
7 |
5,555 |
8 |
6,102 |
9 |
6,654 |
10 |
7,201 |
Each additional person |
517 |
Expansion Group - 133% of the Federal Poverty Level
*These income standards are updated each year on April 1st
Household Size |
Monthly Income Limit |
1 |
2,167 |
2 |
2,930 |
3 |
3,692 |
4 |
4,455 |
5 |
5,217 |
6 |
5,980 |
7 |
6,742 |
8 |
7,505 |
9 |
8,268 |
10 |
9,031 |
Each additional person |
763 |
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 |
4,405 |
3 |
5,552 |
4 |
6,699 |
5 |
7,845 |
6 |
8,992 |
7 |
10,139 |
8 |
11,285 |
9 |
12,432 |
10 |
13,579 |
Each additional person |
1,147 |
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 |
4,956 |
3 |
6,246 |
4 |
7,536 |
5 |
8,826 |
6 |
10,116 |
7 |
11,406 |
8 |
12,696 |
9 |
13,986 |
10 |
15,276 |
Each additional person |
1,290 |
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 |
2,884 |
2 |
3,899 |
3 |
4,914 |
4 |
5,929 |
5 |
6,943 |
6 |
7,958 |
7 |
8,973 |
8 |
9,988 |
9 |
11,003 |
10 |
12,018 |
Each additional person |
1,015 |
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 |
3,308 |
2 |
4,472 |
3 |
5,635 |
4 |
6,799 |
5 |
7,963 |
6 |
9,127 |
7 |
10,291 |
8 |
11,455 |
9 |
12,619 |
10 |
13,783 |
Each additional person |
1,164 |
MAGI Income Disregards - 5% of the Federal Poverty Level
*These income disregards are updated each year on April 1st
Household Size |
Disregard |
1 |
82 |
2 |
111 |
3 |
139 |
4 |
168 |
5 |
197 |
6 |
225 |
7 |
254 |
8 |
283 |
9 |
312 |
10 |
341 |
Each additional person |
29 |
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