What Is Medicaid?
Medicaid is a joint federal and state program that provides free or low-cost health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Each state runs its own Medicaid program within federal guidelines.
Income Eligibility
In states that expanded Medicaid under the ACA, adults with household income up to 138% of the federal poverty level (FPL) generally qualify. Income limits vary by state and household size, so it's important to check your state's specific thresholds.
What Medicaid Covers
Medicaid covers a comprehensive set of services including doctor visits, hospital stays, prescription drugs, preventive care, mental health services, and more. Many states also cover dental and vision care for adults.
How to Apply
- Apply through your state Medicaid agency or HealthCare.gov
- You can apply any time — there's no enrollment period for Medicaid
- Coverage can start immediately once approved
- You'll need to provide income documentation and household information
Medicaid vs. Marketplace Plans
If your income is too high for Medicaid but still modest, you may qualify for premium tax credits on the ACA marketplace instead. A licensed agent can help determine which option gives you the best coverage for your situation.
