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The Medicaid Program provides medical benefits to low income individuals without medical insurance or adequate medical insurance. The Federal government establishes general guidelines for the administration of Medicaid benefits. However, specific eligibility requirements to receive Medicaid benefits, as well as the type and scope of services provided, are determined by each individual state. Thus, a person who is eligible for Medicaid in one state may not qualify in another state. You must check with the Medicaid office in the state of Indiana to confirm your eligibility to receive benefits.

Indiana Medicaid Income Limits 2023 For Seniors & Child
Indiana Medicaid Income Limits 2023

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.

What Is The Income Limit For Medicaid In Indiana

Household Size* Maximum 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.

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Indiana Medicaid Income Limits 2023 Pregnant individuals

Indiana Medicaid Income Limits 2023 : Pregnant individuals typically fall into the Hoosier Healthwise program. Please review all eligibility criteria below.

Eligibility factors

  • Pregnancy
  • Income
  • Family size

Indiana Medicaid Income / family size

Family size Income limit (per month) Additional details
2 $3,501 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.
3 $4,414
4 $5,325
5 $6,237

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 Income Limits 2023 For Children

Indiana Medicaid Income Limits 2023 : 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.

Indiana Medicaid 2023 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.

Indiana Medicaid Income Limits 2023 Child / family size

Family size Income limit (per month) Additional details
1 $3,099 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.
2 $4,191
3 $5,284
4 $6,375
5 $7,467

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.

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Indiana Medicaid Income Limits 2023 Adults

Indiana Medicaid Income Limits 2023 : 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.

Indiana Medicaid Eligibility factors

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

Indiana Medicaid Income / family size

Family size Income limit (per month) Additional details
1 $1,677 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.
2 $2,268
3 $2,860
4 $3,450
5 $4,041

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 Medicaid Income Limits 2023 Aged, Blind And 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

Indiana Medicaid 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.

Indiana Medicaid Income Limits 2023 Aged, Blind And Disabled / family size

Family size Income limit (per month) Additional details
1 $1,215 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.
2 $1,644
3 $2,072
4 $2,500
5 $2,929

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.

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Indiana Medicaid Asset Income Limits test

Indiana Medicaid Income Limits 2023 : 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.

Indiana Medicaid Pecialized 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

Home and Community Based Services

Indiana Medicaid Income Limits 2023 : 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.

Program options

How can I contact someone?

Indiana Medicaid Income Limits 2023 : To learn more about the Medicaid program and the specific eligibility requirements and program benefits in Indiana, visit the Indiana Medicaid website. 

Recipient hotline:
1-800-403-0864

Indiana Medicaid Eligibility Portal

Medicaid, the state and federally funded program designed to provide healthcare coverage to low-income individuals and families, plays a crucial role in ensuring that all Americans have access to essential medical services. In Indiana, as in many other states, the eligibility for Medicaid is determined based on various factors, including household size and income. As we enter 2023, it’s important to understand the updated Indiana Medicaid income limits to see if you qualify for this vital healthcare program.

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Indiana Disability Medicaid Eligibility 2023

Before delving into the income limits, it’s essential to grasp the basics of Medicaid in Indiana. This program is administered by the Indiana Family and Social Services Administration (FSSA) and is designed to assist individuals and families who may not have access to affordable healthcare coverage through other means.

Medicaid provides coverage for a range of medical services, including doctor visits, hospital stays, prescription drugs, and more. The program helps eligible Hoosiers access the care they need to maintain their health and well-being.

Income Limits for Indiana Medicaid in 2023

The income limits for Indiana Medicaid in 2023 are determined by the federal poverty level (FPL) and are updated annually. These limits are categorized by household size, meaning the number of individuals in your family or household affects the maximum income you can have to qualify for Medicaid. Let’s take a closer look at these income limits for 2023:

  • Household Size of 1: If you are a single individual without any dependents, your maximum annual income to be eligible for Medicaid in Indiana is $16,971.
  • Household Size of 2: For a household with two members, such as a couple, the maximum annual income limit is $22,930.
  • Household Size of 3: If your household consists of three individuals, the maximum income allowed is $28,888 per year.
  • Household Size of 4: A family of four can have an annual income of up to $34,846 and still qualify for Indiana Medicaid.
  • Household Size of 5: For larger families with five members, the income limit increases to $40,805 annually.
  • Household Size of 6: In a household with six individuals, the maximum allowable income is $46,763 per year.
  • Household Size of 7: Families with seven members can have an annual income of up to $52,722 and still qualify for Medicaid.
  • Household Size of 8: The highest household size category is eight members, with a maximum income limit of $58,680 annually.

It’s important to note that these income limits are subject to change each year and can vary slightly based on factors such as location within Indiana. Additionally, there may be specific Medicaid programs for certain populations, like pregnant women or individuals with disabilities, which could have different income thresholds.

Applying for Indiana Medicaid

If your household income falls within the specified limits for your family size, you may be eligible for Indiana Medicaid. To apply for Medicaid in the state, you can use the FSSA’s online portal or apply in person at your local Division of Family Resources (DFR) office. The application process typically involves providing information about your income, household members, and other relevant details.

It’s crucial to keep in mind that Medicaid eligibility is not solely determined by income; other factors such as citizenship or legal status, age, and disability status may also play a role. Be prepared to provide documentation to support your application, and if you have questions or need assistance, you can reach out to your local DFR office for guidance.

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FAQ’s-Indiana Medicaid Income Limits 2023 For Child

Q: What are the income limits for Indiana Medicaid in 2023 based on household size?

Ans: The income limits for Indiana Medicaid in 2023 are determined by household size. Here are the maximum income levels per year for various household sizes:

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

Q: How do the income limits for Indiana Medicaid change with household size?

Ans: The income limits for Indiana Medicaid increase as the household size grows. Larger households are allowed higher annual incomes and still qualify for Medicaid. For example, a household with one member can have an annual income of up to $16,971 to qualify, while a household with eight members can have an annual income of up to $58,680.

Q: Can you provide an example of how these income limits work?

Ans: Certainly! Let’s say you have a family of three members (two adults and one child). To be eligible for Indiana Medicaid in 2023, your household’s total annual income should not exceed $28,888. If your household’s annual income is below this limit, you may qualify for Medicaid coverage.

Q: What happens if a household’s income exceeds the specified limit for their size?

Ans: If a household’s income exceeds the specified income limit for their size, they may not be eligible for traditional Medicaid coverage. However, they may still explore other healthcare options, such as the Health Insurance Marketplace or state-specific healthcare programs. It’s important to check for alternative options if you do not meet the income criteria for Medicaid.

Q: Are these income limits the same across all of Indiana, or do they vary by region?

Ans: These income limits are typically uniform across the state of Indiana. However, it’s essential to check with your local Division of Family Resources (DFR) office for any potential regional variations or updates, as Medicaid policies can sometimes have local nuances.

Q: Are there any additional factors besides income and household size that can affect Medicaid eligibility?

Ans: Yes, besides income and household size, other factors can affect Medicaid eligibility in Indiana. These may include citizenship or legal status, age, disability status, and certain medical conditions. Eligibility criteria can vary based on specific Medicaid programs within the state, so it’s advisable to consult with a local DFR office for personalized guidance.

Q: How can individuals or families apply for Indiana Medicaid?

Ans: To apply for Indiana Medicaid, individuals or families can use the Indiana Family and Social Services Administration (FSSA) online portal or apply in person at their local Division of Family Resources (DFR) office. The application process typically involves providing information about income, household members, and other relevant details. It’s important to have necessary documentation on hand when applying.

Q: Can you reiterate the importance of understanding these income limits for Indiana Medicaid in 2023?

Ans: Understanding the income limits for Indiana Medicaid in 2023 is crucial for individuals and families who require healthcare coverage. These limits determine eligibility, and being aware of them will help you navigate the application process and access the healthcare services you need. Whether you’re a single individual or part of a larger household, knowing the income thresholds is essential for ensuring you can lead a healthy life with access to affordable healthcare.

Conclusion-Indiana Medicaid Income Limits 2023 For Seniors

Access to affordable healthcare is a fundamental right, and Medicaid serves as a lifeline for many low-income individuals and families in Indiana. As we step into 2023, understanding the income limits for Indiana Medicaid is crucial if you or your loved ones require healthcare coverage. Whether you’re a single individual or part of a larger household, knowing the income thresholds will help you navigate the application process and access the care you need to lead a healthy life. Stay informed, stay healthy, and explore your eligibility for Indiana Medicaid today.

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