Medicaid Income and Resources Requirements

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Medicaid eligibility is based in part on your family’s income and resources. This amount is different depending on the Medicaid program that fits your age and health care needs. Your county Division of Social Services caseworker will help determine your income and resources. Below are requirements for some common Medicaid programs.

Services Covered by Medicaid

Medicaid for Aged, Blind and Disabled

To receive Medicaid for the blind or disabled, a doctor must evaluate you. If you receive Supplemental Security Income, you are eligible for North Carolina Medicaid and do not need to apply.

Monthly Income Limits for Medicaid for Aged, Blind and Disabled
Family size 1 2
Monthly Income Limit $1,005 $1,354

Your resources may not be more than $2,000 for an individual or $3,000 for a couple. The value of your home, a car, home furnishing, clothing and jewelry are not counted.

Resources include:

  • Cash
  • Bank accounts
  • Retirement accounts
  • Stocks and bonds
  • Cash value of life insurance policies
  • Other investments

If your family income and resources are over the limit and you have high medical bills, you may still qualify for Medicaid and have a Medicaid deductible. Medicaid also may help pay for nursing homes and intermediate care facilities and long-term care in the home.

Medicaid for Infants and Children

Monthly Income Limits: Medicaid for Infants and Children
Family Size Age 0 - 5 Age 6 – 18
1 $2,111 $1,337
2 $2,842 $1,800
3 $3,574 $2,264
4 $4,305 $2,727
5 $5,037 $3,190

If your family income is greater than the amounts listed above, your children ages 6-18 may be eligible for NC Health Choice for Children or Medicaid with a Medicaid deductible.

Medicaid for Families with Dependent Children

Medicaid for Families with Dependent Children provides medical coverage for parents or other caretaker/relative with children ages 18 and under in the household and for children under the age of 21. A pregnant woman also may qualify.

Monthly Income Limits: Medicaid For Families with Dependent Children
Family Size Caretakers and Children age 19 and 20
1 $434
2 $569
3 $667
4 $744

If the family income is over the limit, you may still qualify for Medicaid and have a Medicaid deductible.

Medicaid for Pregnant Women

A pregnant woman may apply for this program before or after she delivers. A woman who has experienced a recent pregnancy loss also may be eligible. Medicaid for Pregnant Women covers only services related to pregnancy:

  • Prenatal care, delivery and 60 days of postpartum care
  • Services to treat medical conditions that may complicate pregnancy
  • Childbirth classes
  • Family planning services
Monthly Family Income Limits: Medicaid for Pregnant Women
Family Size Monthly Income Limit
2 $2,653
3 $3,336
4 $4,018
(An unborn child is counted in the family size)

More Information

Medicaid Income Limits

Consumer Guide: Health Insurance Programs for the Aged, Blind and Disabled

Contact

Medical Assistance Operations Section
Phone: 919-855-4050
Fax: 919-715-8548