Florida Medicaid Eligibility


 

Florida Medicaid Income Guidelines

According the Kaiser Family Foundation, these are the current requirements to qualify for Medicaid in Florida. The most common groups of eligible groups are listed by the percentage of total family income in relation to the Federal Poverty Level (FPL). If you are a non-disabled, childless adult under age 65 in Florida, you are unfortunately ineligible for Medicaid, despite low income levels or employment status. Florida Medicaid is a program primarily for helping low-income families, children, pregnant women, and other uninsured individuals. Health care services provided through Medicaid are free or low cost to those who qualify, which includes low-income Medicare beneficiaries, as well as recipients of SSI and TANF benefits.

Group                                       Income (percent of FPL)

Infant                                                    185%

Child age 1-5                                        133%

Child age 6-19                                      100%

Parent (unemployed)                            20%

Parent (employed)                                 58%

Pregnant Women                                  185%

Single Aged/Blind/Disabled                   75%

Aged/Blind/Disabled Couple                  83%

 

 

Other Eligible Groups

  • Families who receive Temporary Assistance for Needy Families (TANF) benefits
  • Supplemental Security Income (SSI) beneficiaries
  • Disabled individuals who no longer qualify for SSI benefits
  • Low-income Medicare recipients
  • Qualified Medicare Beneficiary (QMB) program: Medicaid pays your Medicare monthly premium, deductibles, and coinsurance if your income is below the poverty level.
  • Specified Low-Income Medicare Beneficiary (SLMB) program: Medicaid pays your monthly premiums only if your income is below 120% FPL.
  • Medically Needy program: Medicaid for those who have high medical expenses that when subtracted from your income deem you eligible for Medicaid.

 

Federal Poverty Level 2012

 

Resources

Florida Department of Children & Families: Medicaid

ACCESS Florida: Apply for benefits

Florida DCF Customer Call Center: 866-762-2237