Hello there, reader! Are you interested to know about the Medicaid income limits in Florida in 2023-2024? If yes, then you have come to the right place. In this article, I will provide you with all the necessary information regarding Medicaid Florida income limits for individuals and families and other related things.
The Different Types Of Medicaid Programs In Florida
Florida offers various types of Medicaid programs to cater to the specific needs of its residents. These programs include:
- Medicaid for Adults
- Children’s Medicaid Programs
- Medicaid for the Elderly, Blind, and Disabled (EBD)
- Long-Term Care Medicaid
- Prenatal Medicaid for Pregnant Women
- Medically Necessary Hospice Services
Let us look at each of these programs in detail.
Medicaid for Adults
As the name suggests, this program provides health coverage to low-income adults. To be eligible for this program, an individual’s family income must not exceed 100% of the Federal Poverty Level (FPL). The FPL is updated annually and is based on the size of the family.
Apart from this, Florida also offers Medically Needy Medicaid for those with variable incomes. The income limits for this program depend on the family size and may vary.
Children’s Medicaid Programs
Under this category, there are three different programs:
- Medicaid for Low-Income Families with Children
- Florida KidCare
- Medically Needy Medicaid
Let’s discuss each of these programs in brief.
Medicaid for Low-Income Families with Children
This program provides health coverage to families with income up to 100% of the FPL. It is a crucial program that helps children from low-income families access essential healthcare services.
Florida KidCare
Florida KidCare is available for families with income up to 200% of the FPL. This program offers comprehensive health coverage for children under the age of 19.
Medically Needy Medicaid
The income limit for this program varies and is dependent on the family size. It caters to individuals and families who have high medical expenses but do not qualify for other Medicaid programs due to their income.
Medicaid for the Elderly, Blind, and Disabled (EBD)
This program provides health coverage to individuals who are elderly, blind, or disabled. To be eligible for this program, an individual’s income must not exceed 88% of the FPL. Additionally, there are asset limits as well for this program.
One significant aspect of this program is that it includes long-term care coverage, which is crucial for individuals who need continuous medical assistance. Let’s take a closer look at this program.
Prenatal Medicaid for Pregnant Women
This program provides comprehensive healthcare coverage to pregnant women. The income limit for this program is 196% of the FPL. It covers services such as prenatal care, delivery, postpartum care, and other related services.
| Medicaid Program | Income Limit as % of FPL | Description |
|---|---|---|
| Medicaid for Low-Income Adults | Up to 100% | Coverage for adults whose family income does not exceed 100% of the FPL. |
| Medically Needy Medicaid (Adults) | Variable | For adults with variable incomes; limits depend on family size. |
| Medicaid for Low-Income Families | Up to 100% | Covers families with children, with income up to 100% of the FPL. |
| Florida KidCare | Up to 200% | Available for families with income up to 200% of the FPL. |
| Medically Needy Medicaid (Children) | Variable | Income limit varies for children under this program. |
| Elderly, Blind, and Disabled (EBD) | Up to 88% | For the elderly, blind, and disabled, with an income limit set at 88% of the FPL. Includes long-term care coverage. |
Medicaid Income Limits In Florida In 2023-2024
Now that we have discussed the different types of Medicaid programs and their eligibility criteria, let’s look at the income limits for individuals and families in Florida for 2023-2024.
Florida’s Medicaid Income Limits For Adults
Annual Household Income Limits (Before Taxes)
| Household Family Size | Gross Income Limit |
|---|---|
| 1 | $19,392 |
| 2 | $26,228 |
| 3 | $33,064 |
| 4 | $39,900 |
| 5 | $46,737 |
| 6 | $53,573 |
| 7 | $60,409 |
| 8 | $67,245 |
Florida’s Medicaid Income Limit For MediKids
| Family Size | Medicaid for Children | MediKids – No monthly premium (Up to 133% of FPL) | MediKids – $15 monthly premium (133.01 – 158% of FPL) | MediKids – $20 monthly premium (158.01% – 200% of FPL) | MediKids – Full pay plan (200.01% of FPL & over) |
|---|---|---|---|---|---|
| 1 | Up to $19,392.00 | Up to $19,392.00 | $19,392.01 – $23,040.00 | $23,040.01 – $29,160.00 | $29,160.01 & over |
| 2 | Up to $26,232.00 | Up to $26,232.00 | $26,232.01 – $31,164.00 | $31,164.01 – $39,444.00 | $39,444.01 & over |
| 3 | Up to $33,072.00 | Up to $33,072.00 | $33,072.01 – $39,288.00 | $39,288.01 – $49,728.00 | $49,728.01 & over |
| 4 | Up to $39,900.00 | Up to $39,900.00 | $39,900.01 – $47,400.00 | $47,400.01 – $60,000.00 | $60,000.01 & over |
| 5 | Up to $46,740.00 | Up to $46,740.00 | $46,740.01 – $55,524.00 | $55,524.01 – $70,284.00 | $70,284.01 & over |
| 6 | Up to $53,580.00 | Up to $53,580.00 | $53,580.01 – $63,648.00 | $63,648.01 – $80,568.00 | $80,568.01 & over |
| 7 | Up to $60,420.00 | Up to $60,420.00 | $60,420.01 – $71,772.00 | $71,772.01 – $90,840.00 | $90,840.01 & over |
| 8 | Up to $67,248.00 | Up to $67,248.00 | $67,248.01 – $79,896.00 | $79,896.01 – $101,124.00 | $101,124.01 & over |
| 9 | Up to $74,088.00 | Up to $74,088.00 | $74,088.01 – $88,008.00 | $88,008.01 – $111,408.00 | $111,408.01 & over |
| 10 | Up to $80,928.00 | Up to $80,928.00 | $80,928.01 – $96,132.00 | $96,132.01 – $121,680.00 | $121,680.01 & over |
Income Limit By % Of Federal Poverty Line
1. Managed Medical Assistance (MMA) – Classic Medicaid
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 138 |
| 2 | 185 |
| 3 | 232 |
| 4 | 279 |
| 5 | 326 |
| 6 | 373 |
| 7 | 420 |
| 8 | 466 |
| 9 | 513 |
2. Long-Term Care (LTC)
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 326 |
| 2 | 435 |
| 3 | 544 |
| 4 | 653 |
| 5 | 762 |
| 6 | 871 |
| 7 | 980 |
| 8 | 1089 |
| 9 | 1198 |
3. Medicaid For Pregnant Women
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 185 |
| 2 | 232 |
| 3 | 279 |
| 4 | 326 |
| 5 | 373 |
| 6 | 420 |
| 7 | 466 |
| 8 | 513 |
| 9 | 560 |
4. Medicaid For Children
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 185 |
| 2 | 232 |
| 3 | 279 |
| 4 | 326 |
| 5 | 373 |
| 6 | 420 |
| 7 | 466 |
| 8 | 513 |
| 9 | 560 |
5. Healthy Start
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 138 |
| 2 | 185 |
| 3 | 232 |
| 4 | 279 |
| 5 | 326 |
| 6 | 373 |
| 7 | 420 |
| 8 | 466 |
| 9 | 513 |
6. Children’s Medical Services Network (CMSN)
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 326 |
| 2 | 435 |
| 3 | 544 |
| 4 | 653 |
| 5 | 762 |
| 6 | 871 |
| 7 | 980 |
| 8 | 1089 |
| 9 | 1198 |
7. Medicaid For Individuals With Disabilities
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 326 |
| 2 | 435 |
| 3 | 544 |
Frequently Asked Questions
What is the highest income to qualify for Medicaid in Florida in 2024?
The highest income to qualify for Medicaid in Florida varies by program and household size. For example, for children under 18, the family’s income must be at or below 206% of the Federal Poverty Level (FPL). For pregnant women, the limit is at or below 196% of the FPL.
What is the maximum income to qualify for Medicaid in Florida in 2024?
Similar to the highest income, the maximum income also depends on the specific Medicaid program. For parents and caretaker relatives, the income limit is at or below 34% of the FPL.
What Is The Federal Poverty Level (FPL)?
The FPL is a set of income guidelines determined by the U.S. government, used to establish eligibility for various assistance programs, including Medicaid. It varies based on household size and is adjusted annually.
Who Qualifies For Medicaid In Florida?
Eligibility for Medicaid in Florida includes low-income adults, children, pregnant women, the elderly, blind, and disabled individuals. Eligibility criteria also consider residency, citizenship status, and special circumstances like pregnancy or disability.
How Are Medicaid Income Limits Calculated?
Medicaid income limits are calculated as a percentage of the FPL. These percentages are determined by the state within federal guidelines and vary depending on the specific Medicaid program.
Can I Get Medicaid in Florida if I Am Able-Bodied but Well Below the Poverty Level?
Yes, able-bodied adults with income below certain thresholds may qualify for Medicaid in Florida. The specific eligibility would depend on the income level and other criteria set by the state’s Medicaid program.
Is Medicaid FL Income Limit $485?
The income limit for Medicaid in Florida is not a fixed amount like $485; it varies based on the FPL and the specific Medicaid program. The $485 figure might refer to a specific context or program, but generally, Medicaid income limits are expressed as a percentage of the FPL and depend on household size.