Please select the category that best describes you or the person who needs medical coverage.
This is only a guide and is intended to show basic eligibility rules for several typical Medicaid member groups. You must apply for coverage to know for sure whether you qualify.
Note: The following income limits include income before taxes and not take-home pay.
Pregnant individuals typically fall into the Hoosier Healthwise program. Please review all eligibility criteria below.
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, 2024.
You can receive immediate medical attention by applying for Presumptive Eligibility for Pregnant Women while you wait for your Medicaid application to be completed.
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.
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, 2024.
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.
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.
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, 2024.
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.
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, 2024.
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.
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.
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.
Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.
