Medicaid Eligibility Calculator - 50 State Medical Assistance Prescreener

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Phone NumberNúmero de Teléfono

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Is the individual a U.S. citizen? ¿Son todas las personas que aparecen en la aplicación ciudadanos americanos?

YesSí

Many immigrants are eligible for Medicaid and CHIP and can apply without fear (except Medicaid for long-term institutionalization). Eligibility depends on their immigration status. Click here to learn more. Please continue completing the calculator to check potential eligibility. Su hogar puede ser elegible para SNAP, dependiendo de su estado migratorio / de ciudadanía o el de los miembros de su hogar. Por favor, continúe completando la calculadora para verificar la posibilidad de elegibilidad.

Contact for more info:

Comuníquese para obtener más información:

Will the individual be filing taxes?

Select "no" if someone will be claiming the individual as a dependent.

YesSí

Will the individual be claimed as a tax dependent?

YesSí

Is the individual under 19 (or under 21 and a full-time student) and will they be claimed as a tax dependent by all the parents they live with?

Select "no" if any of the following cases apply:

the individual is claimed by someone that is not their parent
the individual is under 19 (or under 21 and a full-time student) and living with both parents, but only claimed by one (the parents are filing separately)
the individual is under 19 (or under 21 and a full-time student) and their non-custodial parent is claiming them

YesSí

Household sizeTamaño del hogar *required*requerido

Include everyone on the tax return, including the individual. Also include:

the individual's spouse, if they are living together
if the individual is pregnant, include the total number of expected children

Include the individual and the following people that live with the individual:

individual's spouse
individual's children under 19 (or under 21 and a full-time student)
if the individual is pregnant, include the total number of expected children

If the individual is under age 19 (or under 21 and a full-time student), also include:

individual's siblings under 19 (or under 21 and a full-time students)
individual's parents

Monthly household income before taxes Ingreso mensual del hogar, antes de los impuestos, por salario de trabajo o empleo por cuenta propia *required*requerido

Combined income from all household members from jobs and other sources, except for child support, Supplemental Security Income, and childrens' non-taxable income (like disability payments). More info. Su hogar es las personas con quienes usted vive y quienes compran comida con usted. Incluya a los hijos de 21 años o menores, padres y cónyuges si viven con usted.

The income number used in applications for Medicaid, CHIP, and to calculate health insurance tax credits is called Modified Adjusted Gross Income (MAGI). It's similar to Adjusted Gross Income (AGI) which is on your tax return, however some uncommon deductions are added back. For a simple estimate this calculator uses your monthly total income. Click here to learn more about how MAGI is calculated.

Select the following categories that the individual meets ¿Cuál de las siguientes facturas de servicios públicos usted paga?

Depending on age and other factors, different eligibility pathways are available. Seleccione las utilidades pagadas por separado de su alquiler o hipoteca. Marque "Calefacción y refrigeración" si ha recibido un pago de más de $20 de parte de un programa de asistencia de energía, tal y como LIHEAP.

Under 1 Calefacción y refrigeración

Age 1 - 5 Electricidad

Age 6 - 18 Gas y combustible

Age 19 - 20 Agua

Age 21 - 64 Alcantarillado

Age 65 or older Basura

Parent with dependent 18 or younger Basura

Pregnant Teléfono

Disabled (as defined by the Social Security Administration) Basura

Alternate pathways to Medicaid eligibility may be available for this individual. These pathways require a different set of income calculations, so this calculator will ask a few more questions.

Is the individual eligible to receive Medicare?

Medicare is typically available for people age 65 or older or for those with disabilities. Check "No" if the individual is in the 24-month waiting period before Medicare starts.

YesSí

City / County

Select which city or county the individual lives in. More info

Does the individual need Medicaid for Long Term Care?

Medicaid for Long Term Care provides support to those with long-lasting health problems or disabilities and includes services such as home health aides, nursing home care, and community based care that are not covered by regular Medicaid.

YesSí

Most people would benefit from speaking to an expert before applying for Medicaid for long term care, particuarly if they have significant assets. If applying, consider contacting a Medicaid Navigator or a legal aid nonprofit in your state. This calculator does not screen for eligibility for Medicaid for Long Term Care.

Is the individual married and living with their spouse?

YesSí

Does the spouse receive SSI?

YesSí

Is the spouse over 65, blind, or have a disability, and also applying for Medicaid?

YesSí

How many children under 21 does the individual live with?

Individual's monthly household income before taxes from jobs or self-employment Ingreso mensual del hogar, antes de los impuestos, por salario de trabajo o empleo por cuenta propia *required*requerido

Don't include income of any other household members here.

Individual's monthly household income from other sources Ingreso mensual del hogar de otras fuentes *required*requerido

This includes Social Security, disability, Child Support, Worker's Comp, Unemployment, Pension Income, or other sources of income. Esto incluye Seguro Social, discapacidad, manutención de menores, compensación al trabajador, desempleo, pensión u otras fuentes de ingresos.

Individual's total resourcesTotal de recursos *required*requerido

This means countable resources, like funds in bank accounts. If assets are shared with a spouse, allocate half to the individual and half to the spouse. One home and one car are not counted as resources. Burial plots and life insurance policies with cash surrender values of below $1,500 are not counted. Esto significa recursos contables, como los fondos en las cuentas bancarias. Una casa no se cuenta como un recurso.

Spouse's monthly household income before taxes from jobs or self-employment Ingreso mensual del hogar, antes de los impuestos, por salario de trabajo o empleo por cuenta propia

Spouse's monthly household income from other sources Ingreso mensual del hogar de otras fuentes

Spouse's total resourcesTotal de recursos

Childrens' monthly income

Include total household income of all children. Don't include payments that the children get from the government.

Household monthly total out-of-pocket medical expenses *optional*requerido

You can skip this question and come back to it if needed.

Enter the average monthly out-of-pocket expenses for the entire household. This includes most medical and dental expenses, such as doctor bills, prescription drugs and other over-the-counter medication when approved by a doctor. Show examples.

Health and hospitalization insurance policy premiums
Prescription and over-the-counter medications
Medical and dental care (including psychotherapy and rehabilitation)
Hospitalization or outpatient treatment, nursing care, and nursing home care
Transportation and lodging to obtain medical treatment or services (like doctor visits)
Dentures, hearing aids, and prosthetics
Eye glasses prescribed by a doctor
Maintaining an attendant, homemaker, home health aide, or child care services, housekeeper, necessary due to age, infirmity, or illness
Other medical equipment (like wheelchairs, CPAP machines, and blood glucose monitors)
Securing and maintaining a seeing eye or hearing dog

Could you be eligible for Medicaid? ¿Podrían ser ustedes elegibles para obtener ayuda con su presupuesto de comida?

Select your state to begin

Could you be eligible for Medicaid? ¿Podrían ser ustedes elegibles para obtener ayuda con su presupuesto de comida?

Select your state to begin

What are Medicaid, CHIP, and the Premium Tax Credit? ¿Por qué este resultado?

Non-MAGI Medicaid pathways and Medicare Savings Programs ¿Por qué este resultado?

Additional information ¿Por qué este resultado?