South Carolina Medicaid Income Limits 2024

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Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In some states the program covers all low-income adults below a certain income level. Note: Medicaid is sometimes referred to by state specific names. Regardless of the various names, the programs are still Medicaid and are governed by Federal Medicaid law and regulations.

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South Carolina Medicaid Income Limits 2023

Who is eligible for South Carolina Medicaid?

To be eligible for South Carolina Medicaid, you must be a resident of the state of South Carolina, 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. You must also be one of the following:

  • Pregnant, or
  • Be responsible for a child 18 years of age or younger, or
  • Blind, or
  • Have a disability or a family member in your household with a disability, or
  • Be 65 years of age or older.

South Carolina Medicaid Income Limits 2023

Household Size* Maximum Income Level (Per Year)
1 $14,580
2 $19,720
3 $24,860
4 $30,000
5 $35,140
6 $40,280
7 $45,420
8 $50,560

*For households with more than eight people, add $5,140 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Medicaid Eligibility Income Chart 2023 South Carolina

2023 South Carolina Medicaid Long-Term Care Eligibility for Seniors
Type of Medicaid Single Married (both spouses applying) Married (one spouse applying)
Income Limit Asset Limit Level of Care Required Income Limit Asset Limit Level of Care Required Income Limit Asset Limit Level of Care Required
Institutional / Nursing Home Medicaid $2,742 / month* $2,000 Nursing Home $5,484 / month* $4,000 Nursing Home $2,742 / month for applicant* $2,000 for applicant & $66,480 for non-applicant Nursing Home
Medicaid Waivers / Home and Community Based Services $2,742 / month† $2,000 Nursing Home $5,484 / month† $4,000 Nursing Home $2,742 / month for applicant† $2,000 for applicant & $66,480 for non-applicant Nursing Home
Regular Medicaid / Aged Blind or Disabled $1,215 / month (eff. 3/1/23 – 2/28/24) $9,090 Help with ADLs $1,643 / month (eff. 3/1/23 – 2/28/24) $13,630 Help with ADLs $1,643 / month (eff. 3/1/23 – 2/28/24) $13,630 Help with ADLs

*All of a beneficiary’s income, with the exception of a Personal Needs Allowance of $30 / month, Medicare premiums, and a monthly income allowance for a non-applicant spouse (if applicable), must go towards the cost of nursing home care.

†Based on one’s living setting, a program beneficiary may not be able keep monthly income up to this level.

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South Carolina Medicaid Income Limits 2023: A Guide by Household Size

Medicaid is a crucial program that provides healthcare coverage to low-income individuals and families across the United States. Each year, states like South Carolina establish income limits to determine eligibility for Medicaid benefits. In 2023, South Carolina continues its commitment to ensuring healthcare access for those in need by updating its income limits based on household size. In this article, we’ll explore the South Carolina Medicaid income limits for 2023, which vary according to the number of household members.

South Carolina Medicaid Eligibility Income Chart 2023

Medicaid is a joint federal and state program that offers healthcare coverage to eligible individuals and families with limited income and resources. In South Carolina, the program is administered by the South Carolina Department of Health and Human Services (SCDHHS). The income limits are set to ensure that those who are most in need of healthcare assistance can receive the necessary services.

Income Limits by Household Size

As of 2023, South Carolina has established specific income limits for Medicaid eligibility based on the number of household members. These limits are essential in determining who qualifies for the program. Let’s take a closer look at the income limits for different household sizes:

1. Household Size: 1

  • Maximum Income Per Year: $14,580

For individuals living alone or as the sole income provider in their household, the income limit stands at $14,580 annually. This means that if your income falls below this threshold, you may be eligible for Medicaid coverage.

2. Household Size: 2

  • Maximum Income Per Year: $19,720

In households with two members, such as a couple or a parent and child, the maximum annual income limit increases to $19,720. This adjustment takes into account the additional financial responsibilities of a two-person household.

3. Household Size: 3

  • Maximum Income Per Year: $24,860

For households with three members, the income limit rises to $24,860 per year. This allows for greater flexibility in income while still qualifying for Medicaid coverage.

4. Household Size: 4

  • Maximum Income Per Year: $30,000

A family of four, including two parents and two children, has an income limit of $30,000 per year. This higher threshold acknowledges the financial demands of a larger household.

5. Household Size: 5

  • Maximum Income Per Year: $35,140

In households with five members, the annual income limit increases to $35,140. This accommodates larger families and ensures that they can access Medicaid if their income falls within this range.

6. Household Size: 6

  • Maximum Income Per Year: $40,280

For families with six members, the income limit for Medicaid eligibility is $40,280 annually. This further demonstrates South Carolina’s commitment to supporting larger households in need of healthcare coverage.

7. Household Size: 7

  • Maximum Income Per Year: $45,420

Larger households with seven members have an annual income limit of $45,420. This ensures that even larger families can access Medicaid assistance.

8. Household Size: 8

  • Maximum Income Per Year: $50,560

The highest household size for which Medicaid income limits are provided is eight members, with a maximum annual income of $50,560. This allows for comprehensive coverage for sizable families.

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How to Apply for South Carolina Medicaid

Seniors can apply for SC Medicaid online at Healthy Connections. Alternatively, they can complete and submit the required forms to their local Healthy Connections county office. Forms for Aged Blind or Disabled Medicaid can be found half way down this webpage. Forms for Nursing Home Medicaid or Home and Community Based Services via a Medicaid Waiver can be found at the bottom of this webpage. Since the application process varies based on the program for which a senior is applying, it can be confusing.

Prior to applying for long-term care Medicaid in South Carolina, it is imperative that seniors are certain all eligibility requirements are met. Persons who have income and / or resources in excess of the limit(s) can benefit from Medicaid planning for the best chance of acceptance into a Medicaid program. Familiarizing oneself with general information about the application process for long-term care Medicaid can be helpful.

FAQ’s-South Carolina Medicaid Eligibility Income Chart 2023

Q: What are the South Carolina Medicaid income limits for 2023 based on household size?

Ans: The South Carolina Medicaid income limits for 2023 vary depending on the number of household members. Here are the income limits for different household sizes:

  • Household Size: 1
    • Maximum Income Per Year: $14,580
  • Household Size: 2
    • Maximum Income Per Year: $19,720
  • Household Size: 3
    • Maximum Income Per Year: $24,860
  • Household Size: 4
    • Maximum Income Per Year: $30,000
  • Household Size: 5
    • Maximum Income Per Year: $35,140
  • Household Size: 6
    • Maximum Income Per Year: $40,280
  • Household Size: 7
    • Maximum Income Per Year: $45,420
  • Household Size: 8
    • Maximum Income Per Year: $50,560

Q: Who sets the income limits for South Carolina Medicaid?

Ans: The income limits for South Carolina Medicaid are set by the South Carolina Department of Health and Human Services (SCDHHS) in accordance with federal guidelines.

Q: How do these income limits affect Medicaid eligibility in South Carolina?

Ans: To be eligible for Medicaid in South Carolina, your household income must be at or below the income limit that corresponds to your household size. If your income falls within these limits, you may qualify for Medicaid coverage.

Q: What is the significance of having income limits based on household size?

Ans: Income limits that vary by household size take into account the differing financial needs of households with more members. This approach ensures that larger families with higher financial responsibilities can still qualify for Medicaid assistance.

Q: Are these income limits subject to change?

Ans: Yes, income limits for Medicaid eligibility can change from year to year. It is important to check with the South Carolina Department of Health and Human Services or visit their official website for the most up-to-date income limit information.

Q: Can you apply for South Carolina Medicaid if your income is below the specified limits for your household size?

Ans: Yes, if your income falls below the income limit for your household size, you are typically eligible to apply for South Carolina Medicaid. However, other eligibility criteria may also apply, so it’s advisable to contact the SCDHHS or visit their website to learn more about the application process and eligibility requirements.

Q: What types of healthcare services are covered by South Carolina Medicaid?

Ans: South Carolina Medicaid provides coverage for a wide range of healthcare services, including doctor visits, hospital care, prescription medications, preventive care, and more. The specific services covered may vary, so it’s important to review the Medicaid benefits offered in South Carolina for a comprehensive understanding of coverage.

Q: Where can individuals apply for South Carolina Medicaid based on their income and household size?

Ans: To apply for South Carolina Medicaid based on your income and household size, you can contact the South Carolina Department of Health and Human Services directly or visit their official website to find information on the application process and access the necessary forms and resources.

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Conclusion | South Carolina Medicaid Income Chart 2023

Access to healthcare is a fundamental right, and Medicaid plays a vital role in ensuring that individuals and families with limited income can receive the medical care they need. In South Carolina, the Medicaid income limits for 2023 have been set according to household size, reflecting the state’s commitment to providing healthcare assistance to those who need it most.

It’s important to keep in mind that these income limits are subject to change, so it’s advisable to check with the South Carolina Department of Health and Human Services or visit their official website for the most up-to-date information on Medicaid eligibility criteria. If you or someone you know falls within these income limits, consider applying for Medicaid to access essential healthcare services and support for you and your family.

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