Health Coverage Assistance Program Income Limits

Find income limits for Health Coverage Assistance programs.

Program Income Limits

Click on the program below to view the income limits. Most programs have additional eligibility requirements such as resource limits, age, or disability status. To find out more about each program, and for instructions on how to apply, click on the link within each program tab below, or visit our Medicaid and Health programs.

Income is only one piece of the eligibility criteria. If you have any questions, think you may be eligible, or are ready to apply, contact us today!

Medicaid & Health Programs

For more eligibility information and instructions on how to apply, visit our Medicaid and Health pages.

Effective January 2021

HOUSEHOLD SIZE	INCOME
1	$1,482
2	$2,004
3	$2,526
4	$3,048
5	$3,570
6	$4,092
7	$4,614
8	$5,136
Each additional member	$523

The unborn child(ren) of a pregnant adult counts as part of the household size.

For more eligibility information and instructions on how to apply, visit Adult Medicaid.

Effective January 2021

HOUSEHOLD SIZE*	MONTHLY INCOME
2	$2,004
3	$2,526
4	$3,048
5	$3,570
6	$4,092
7	$4,614
8	$5,136
Each additional member	(+)$523

The unborn child(ren) of a pregnant adult counts as part of the household size.

For more eligibility information and instructions on how to apply, visit Pregnancy Coverage.

Effective January 2021

	INCOME		RESOURCES
PROGRAM	INDIVIDUAL	COUPLE	INDIVIDUAL	COUPLE
Qualified Medicare Beneficiary - QMB (Income between 0-100% FPL)	$1,074	$1,452	$7,970	$11,960
Specified Low-Income Medicare Beneficiary - SLMB I (Income between 100-120% FPL)	$1,288	$1,742	$7,970	$11,960
Qualified Individual - QI (Income between 120-135%	$1,449	$1,960	$7,970	$11,960

For more eligibility information and instructions on how to apply, visit Medicare Savings.

Effective January 2021

HOUSEHOLD SIZE	MONTHLY INCOME
2	$2,759
3	$3,477
4	$4,196
5	$4,915
6	$5,634
7	$6,353
8	$7,072
Each additional member	+ $719

Disabled Children: Income and resource guidelines for disability are best explained by staff, so please contact us.

For more eligibility information and instructions on how to apply, visit CHIP.

Effective January 2021

Income Limit

INDIVIDUAL	COUPLE
$2,402	N/A

Resource Limit
INDIVIDUAL	COUPLE
$2,000	N/A

For more eligibility information and instructions on how to apply, visit Katie Beckett.

Effective January 2021

	INCOME		RESOURCES
PROGRAM	INDIVIDUAL	COUPLE	INDIVIDUAL	COUPLE
Home and Community Based Services - HCBS	$2,402	$4,784	$2,000	$2,000 (ea)**

For more eligibility information and instructions on how to apply, visit Home and Community Based Services.

Effective January 2021

	INCOME		RESOURCES
INCOME LEVEL	INDIVIDUAL	COUPLE	INDIVIDUAL	COUPLE
Between 0-133%	$0-1,434 $0 Premium	$0-1,931 $0 Premium	$10,000	$15,000
Between 133-250%	$1,434-2,678 $10 Premium	$1,1931-3,613 $10 Premium	$10,000	$15,000
Between 250-500%	$2,678-5,334 $10-200 Premium depending on income	$3,613-7,205 $10-270 Premium depending on income	$10,000	$15,000

For more eligibility information and instructions on how to apply, visit Medicaid for Workers with Disabilities.

Effective March 2020

	INCOME		RESOURCES
PROGRAM	INDIVIDUAL	COUPLE	INDIVIDUAL	COUPLE
Long-Term Facility Care	$2,402	$4,784	$2,000	$2,000 (ea)**

For more eligibility information and instructions on how to apply, visit Nursing Home Coverage.

ATTENTION:

IN RESPONSE TO THE COVID-19 PANDEMIC, THE MAXIMUM INCOME LIMIT REQUIREMENTS FOR THE TAX CREDIT ARE BEING temporarily WAIVED.
You may be eligible for APTC, regardless of your income, if you meet the following criteria: You are a U.S. citizen or national, or your immigration status is lawfully present. You file taxes (if married, must file a joint return). You are not eligible for coverage through an employer. You are not eligible for any other federally assisted healthcare programs such as Medicare, Medicaid, or Veterans Administrations (VA) benefits.

IN RESPONSE TO THE COVID-19 PANDEMIC, THE MAXIMUM INCOME LIMIT REQUIREMENTS FOR THE TAX CREDIT ARE BEING temporarily WAIVED.

You may be eligible for APTC, regardless of your income, if you meet the following criteria:

You are a U.S. citizen or national, or your immigration status is lawfully present.
You file taxes (if married, must file a joint return).
You are not eligible for coverage through an employer.
You are not eligible for any other federally assisted healthcare programs such as Medicare, Medicaid, or Veterans Administrations (VA) benefits.

The application requires you to estimate your taxable income for the upcoming tax year. Most often this amount is considered your Adjusted Gross Income.

Tax Year 2020 Annual Income limits

HOUSEHOLD SIZE	MINIMUM INCOME	MAXIMUM INCOME
1	$12,490	$49,960
2	$16,910	$67,640
3	$21,330	$85,320
4	$25,750	$103,000
5	$30,170	$120,680
6	$34,590	$138,360
7	$39,010	$156,040
8	$43,430	$173,720
Each additional member	$4,420	$17,680

Tax Year 2021 Annual Income limits

HOUSEHOLD SIZE	MINIMUM INCOME	MAXIMUM INCOME
1	$12,760	$51,040
2	$17,240	$68,960
3	$21,720	$86,880
4	$26,200	$104,800
5	$30,680	$122,720
6	$35,160	$140,640
7	$39,640	$158,560
8	$44,120	$176,480
Each additional member	$4,480	$17,920

For more eligibility information and instructions on how to apply, visit Private Insurance Tax Credit.

^{Effective January 2021}

	INDIVIDUAL	COUPLE
INCOME LIMIT	$847	$1,211*
RESOURCE LIMIT	$2,000	$3,000

*For AABD income limit, "Couple" includes Single plus essential person, as well as married couple.

Income Limit

Resource Limit

ATTENTION:

Tax Year 2020 Annual Income limits

Tax Year 2021 Annual Income limits