Benefits Program

All Goverment Program benefits and Application form, income limits, documents etc.
All Goverment Program benefits and Application form, income limits, documents etc.
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NOTICE

Indiana Medicaid Income Limits

Citizens of the state of Indiana have to meet certain income limits to receive benefits of the Medicaid program. So to make sure you are eligible, you will have to apply for coverage. The income limits for the Indiana Medicaid program are given below in this article. Through this you can check your eligibility and apply for the Indiana Medicaid program.

Indiana Medicaid Income Limits For Pregnant Woman

Pregnant individuals typically fall into the Hoosier Health wise program. Please review all eligibility criteria below.

Eligibility factors

  • Pregnancy
  • Income
  • Family size

Income / family size

Family sizeIncome limit (per month)
2$3,501
3$4,414
4$5,325
5$6,237

Additional details - Family size is based on the tax household, including the unborn child(ren). If you do not file taxes, the household includes the pregnant individual, their child(ren) (biological, adopted, and step), their unborn child(ren), and their spouse, if married. These income standards are effective March 1, 2023.

You can receive immediate medical attention by applying for Presumptive Eligibility for Pregnant Women while you wait for your Medicaid application to be completed.

Indiana Medicaid Program Benefits

Indiana Medicaid Income Limits For Children

Children who are not disabled and not living in an institution will be served through Hoosier Healthwise. If your child is disabled or living in an institution, please refer to the aged, blind, and disabled section.

Eligibility factors

  • Age - These programs serve children through the age of 18.
  • Current health insurance coverage - Having private insurance may affect eligibility.
  • Income - See limits below.

Income / family size

Family sizeIncome limit (per month)
1$3,099
2$4,191
3$5,284
4$6,375
5$7,467

Additional details - Family size is based on the tax household. If you do not file taxes, the household includes the child(ren), the child(ren)'s parent(s) (biological, adopted, and step), and the child(ren)'s sibling(s) (biological, adopted, and step). These income standards are effective March 1, 2023.

Based on income, you may have a monthly premium. You can learn more about the premiums by visiting the Hoosier Healthwise and M.E.D. Works premium payments webpage.

Indiana Medicaid Income Limits For Adults

Generally, adults who are not disabled or institutionalized will be served through the Healthy Indiana Plan. If you are disabled or living in an institution, please refer to the aged, blind, and disabled section.

Eligibility factors

  • Age - Individuals must be age 19 or older.
  • Current health insurance coverage - Having private insurance may affect eligibility.
  • Income - See limits below.

Income / family size

Family sizeIncome limit (per month)
1$1,677
2$2,268
3$2,860
4$3,450
5$4,041

Additional details - Family size is based on the tax household. If you do not file taxes, the household includes the child(ren), the child(ren)'s parent(s) (biological, adopted, and step), and the child(ren)'s sibling(s) (biological, adopted, and step). These income standards are effective March 1, 2023.

If eligible for HIP, you will be required to make a monthly contribution of 2% of your family income to receive HIP Plus benefits. To learn more about HIP Plus and HIP Basic, visit the Healthy Indiana Plan webpage.

Indiana Special Supplemental Nutrition Program Benefits (WIC)

Indiana Medicaid Income limits For Aged, Blind, Or Disabled

Individuals who are aged, blind, or disabled, including those who are institutionalized, will be served through one of the following programs:

  • Traditional Medicaid
  • Hoosier Care Connect

Eligibility factors

  • Age - Most programs serve individuals of all ages.
  • Disability status -  If disabled, your disability must meet the definition of the Social Security Administration.
  • Income and assets - See limits below.

Income / family size

Family sizeIncome limit (per month)
1$1,215
2$1,644
3$2,072
4$2,500
5$2,929

Additional details - Family size is based on the tax household. If you do not file taxes, the household includes the child(ren), the child(ren)'s parent(s) (biological, adopted, and step), and the child(ren)'s sibling(s) (biological, adopted, and step). These income standards are effective March 1, 2023.

Disabled individuals who are institutionalized or eligible for Home and Community-Based Waiver services may qualify with monthly income of up to $2,742. This income standard is based on the individual only; income of the spouse and other household members is not counted. Depending on their countable income, these individuals may be responsible for paying a monthly patient or waiver liability.

Working disabled individuals may be eligible for M.E.D. Works with slightly higher income and will be required to pay a monthly premium. Institutionalized, disabled individuals may be eligible with slightly higher incomes and be required to pay a monthly patient liability.

Asset test

  • Maximum of $2,000 (single) or $3,000 (married) in assets.
  • What is counted as an asset? This includes items such as a bank account balance, cash on hand, stocks and bonds, and property (other than your family home).
  • What does not count as an asset? One vehicle, a home (if it is where you live), and burial spaces.

Home And Community Based Services

Home- and Community-Based Services allow individuals with special medical or developmental needs to live in the least restrictive setting while receiving the medical care and supports they need.

Specialized Programs

If you do not qualify for any of the above Indiana Medicaid programs, you may qualify for one of the following specialized programs:

  • Family planning eligibility program
  • Emergency services only
  • End-stage renal disease

Who is eligible for Indiana Medicaid Program?

To be eligible for Indiana Medicaid, you must be a resident of the state of Indiana, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Most non-disabled adults will be covered under the Healthy Indiana Plan (HIP).

Disabled individuals or those living in a Medicaid-certified institution may have higher income limits and are subject to an asset limit. Some categories require the payment of a monthly premium or contribution based on family size and income. A disregard of 5% of the annual Federal Poverty Limit will be applied to family income for the Healthy Indiana Plan.

Indiana Low Income Home Energy Assistance Program Benefits

Indiana Medicaid Program Income Limits 2024

To be eligible, you must have an annual household income (before taxes) that is below the following amounts:

Household SizeMaximum Income Level (Per Year)
1$16,971
2$22,930
3$28,888
4$34,846
5$40,805
6$46,763
7$52,722
8$58,680

For households with more than eight people, add $5,958 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Indiana Medicaid Program Income Limits 2024

The income limits for the Indiana Medicaid program in 2024 are based on the size of the household. These limits are designed to reflect the financial realities of individuals and families, ensuring that those who need assistance the most can access healthcare services. Here is a breakdown of the maximum annual income allowed for different household sizes:

  • 1 person: $16,971
  • 2 persons: $22,930
  • 3 persons: $28,888
  • 4 persons: $34,846
  • 5 persons: $40,805
  • 6 persons: $46,763
  • 7 persons: $52,722
  • 8 persons: $58,680

Understanding Household Size and Income Limits

The household size directly impacts the income eligibility for the Indiana Medicaid program. For example, a single individual with an annual income of $16,971 or less is eligible for Medicaid. As the household size increases, so does the allowable income limit, acknowledging the additional financial responsibilities that come with a larger family.

It's crucial for individuals and families to carefully assess their household size and income to determine eligibility for the Indiana Medicaid program. Failure to accurately report household size and income may lead to misunderstandings regarding eligibility, and individuals could miss out on essential healthcare coverage.

Conclusion: - Indiana Medicaid Income Limits

The Indiana Medicaid program serves as a lifeline for many residents, providing essential healthcare coverage to those who may not have access to private insurance. As we move into 2024, understanding the income limits outlined in the table above is vital for individuals and families seeking to benefit from this program. By staying informed and accurately reporting household size and income, eligible individuals can navigate the application process successfully and secure the healthcare coverage they need.