Michigan Medicaid Eligibility


 


 

Michigan Medicaid Income Guidelines

Michigan residents with a low income who fall into certain groups (parents, children, pregnant, blind, aged, disabled, etc.) may qualify for the Medicaid program for health coverage. This program provides uninsured persons who cannot afford any other source of insurance with sufficient coverage on most health care services through physicians and hospitals. Depending on the program, specific coverage may vary, as different programs are available for children, families, adults, and pregnant women. Making health care coverage available to individuals who otherwise would not be able to afford it is the main goal of Medicaid, and it has successfully been providing access for many decades.

Services covered through Medicaid include preventative basics such as vaccinations and physical exams, as well as hospitalization, maternity care, surgery, and prescriptions. Dental and vision care is also included in some programs. Eligibility is determined according to the number of individuals in your family and the total household income in relation to the Federal Poverty Level (FPL). If your income is less than or equal to the stated percentage of the FPL in the appropriate category, you may be eligible for Medicaid benefits.

 

Group                                       Income (percent of FPL)

Infant                                                    185%

Child age 1-5                                        150%

Child age 6-19                                      150%

Parent (unemployed)                            37%

Parent (employed)                                63%

Pregnant Women                                  185%

Single Aged/Blind/Disabled                   100%

*Asset limit of $2,000

Aged/Blind/Disabled Couple                  100%

*Asset limit of $3,000

 

Other Eligible Groups

  • Temporary Assistance for Needy Families (TANF) recipients
  • Supplemental Security Income (SSI) beneficiaries
  • Persons with disabilities who are no longer eligible for SSI benefits
  • Medicare recipients with a low-income
  • Qualified Medicare Beneficiaries (QMB): Medicare members with income below the FPL (see below). Medicaid pays for monthly premium, deductibles, and coinsurance from Medicare if you meet this criteria.
  • Specified Low-Income Medicare Beneficiaries (SLMB): Medicare members with income below 120 percent of FPL. Medicaid pays your monthly Medicare premiums only if you fall into this category.
  • Medically Needy: Those who have high medical expenses that when subtracted from their income qualify them for Medicaid.

 

Federal Poverty Level 2012

 

Resources

Michigan Department of Community Health: Medicaid

MDCH

Capitol View Building

201 Townsend St

Lansing, MI 48913

517-373-3740