What is the Medicaid Income Limit in Ny

The Medicaid Income Limit in New York refers to the maximum income a household is allowed to have in order to be eligible for Medicaid, a government-funded health insurance program that provides medical coverage for low-income individuals and families. The limit varies depending on household size and composition, and it is adjusted periodically to reflect changes in the cost of living. Individuals who earn above the income limit may still be eligible for Medicaid if they meet certain other criteria, such as being disabled, pregnant, or responsible for a child under the age of 19. To determine eligibility, individuals should contact their local Medicaid office or visit the New York State Department of Health website.

Income Eligibility Guidelines

To qualify for Medicaid in New York, you must meet certain income and asset limits. The income limit varies depending on your household size and whether you are applying for Medicaid for adults, children, or both. The following table outlines the income eligibility guidelines for Medicaid in New York:

Household SizeMedicaid for AdultsMedicaid for ChildrenMedicaid for Adults and Children

In addition to the income limits, you must also meet certain asset limits to qualify for Medicaid. The asset limit for Medicaid in New York is $15,750 for individuals and $31,500 for couples. If you have more than the allowable amount of assets, you may still be able to qualify for Medicaid if you meet certain exceptions.

To apply for Medicaid in New York, you can visit your local Department of Social Services office or apply online at the New York State of Health website. You will need to provide proof of your income, assets, and identity.

If you are approved for Medicaid, you will receive a Medicaid card that you can use to pay for covered medical expenses. Medicaid covers a wide range of services, including doctor visits, hospital stays, prescription drugs, and mental health care.

Medicaid Income Limit in New York: Explaining MAGI Criteria

In New York, Medicaid eligibility hinges on Modified Adjusted Gross Income (MAGI). MAGI is a measure of your financial well-being, combining your income and certain deductions, notably from retirement savings and unreimbursed medical expenses. Your MAGI helps determine if you qualify for Medicaid coverage and the extent of your financial assistance.

Determining MAGI for Medicaid

  • Countable Income: Start with your Adjusted Gross Income (AGI), reported on your federal tax return. Some exclusions apply, such as nontaxable Social Security benefits, Supplemental Nutrition Assistance Program (SNAP) benefits, and child support received.
  • Add-Backs: Include certain deductions claimed on your tax return that reduce your AGI, such as contributions to retirement accounts, Health Savings Account (HSA) withdrawals used for non-qualified medical expenses, and child and dependent care expenses.
  • Nontaxable Income: Include nontaxable income like tax-exempt interest and untaxed Social Security benefits.

Once you’ve calculated your MAGI, consult New York’s Medicaid income guidelines to assess your eligibility. MAGI limits vary based on household size and composition.

Medicaid Eligibility Based on MAGI

Household SizeMAGI Limit for Medicaid Eligibility

Keep in mind that these are gross MAGI limits, meaning they consider income before deducting medical expenses. If you have high medical costs, you may still qualify for Medicaid even if your gross MAGI exceeds the limit. Additionally, pregnant women and children under 19 have higher MAGI limits for Medicaid eligibility.


MAGI is a crucial factor determining Medicaid eligibility in New York. By understanding MAGI components and comparing your income against the income limits, you can determine if you qualify for Medicaid coverage. If you have questions about Medicaid or need assistance applying, reach out to your local Medicaid office or consult a qualified healthcare professional.

Medicaid Income Limit in New York

Medicaid, a government-funded healthcare program, provides health coverage to low-income individuals, families, and those with disabilities who meet certain eligibility requirements. In New York, the Medicaid program is administered by the state Department of Health and covers a range of medical services, including hospital care, physician visits, prescription drugs, nursing home care, and more. One of the key factors in determining Medicaid eligibility is household income, which should fall within specific limits set by the program.

Household Size and Composition

The Medicaid income limit in New York varies depending on household size and composition. Generally, the larger the household, the higher the income limit will be. The following table shows the Medicaid income limits for different household sizes in New York as of 2023:

Household SizeMedicaid Income Limit
1$2,611 per month ($31,332 per year)
2$3,531 per month ($42,372 per year)
3$4,451 per month ($53,412 per year)
4$5,371 per month ($64,452 per year)
5$6,291 per month ($75,492 per year)
6$7,211 per month ($86,532 per year)
7$8,131 per month ($97,572 per year)
8$9,051 per month ($108,612 per year)

For households with more than 8 members, the Medicaid income limit increases by $820 per month ($9,840 per year) for each additional household member.

It’s important to note that these income limits are subject to change and may be adjusted annually. To determine your eligibility for Medicaid in New York, it’s recommended to contact your local Medicaid office or visit the New York State Department of Health website for the most up-to-date information.

Income and Asset Limits for Medicaid in New York

Medicaid is a government-sponsored healthcare program that provides financial assistance to individuals and families with low incomes and limited resources. In New York, eligibility for Medicaid is determined based on both income and asset limits.

Income Limits

To qualify for Medicaid in New York, your income must be below certain limits. Depending on your circumstances, the applicable income limit may vary. Here’s an overview:

  • Individuals: For individuals, the income limit is 138% of the Federal Poverty Level (FPL). This means that if your annual income is below $18,754, you may be eligible for Medicaid.
  • Families: For families, the income limit is based on the FPL and ranges from 138% to 215%. The exact limit depends on the family size. For a family of four, the income limit is $48,537.
  • Children: Children under the age of 19 are automatically eligible for Medicaid regardless of their family’s income.

Asset Limits

In addition to income limits, New York also has asset limits for Medicaid eligibility. These limits are more stringent for individuals and less stringent for families. Below are the asset limits for Medicaid in New York:

  • Individuals: Individuals can have up to $15,000 in assets. This includes cash, bank accounts, stocks, and other financial instruments.
  • Families: Families can have up to $30,000 in assets. This includes the assets of all family members applying for Medicaid.
  • Homestead Exemption: The value of your primary residence is exempt from the asset limit. This means that you can own a home and still qualify for Medicaid.
Income and Asset Limits for Medicaid in New York
Income LimitAsset Limit
Individuals138% of FPL ($18,754)$15,000
Families138% to 215% of FPL ($24,944 – $48,537)$30,000
ChildrenNo income limitNo asset limit

It’s important to note that these limits are subject to change. For the most up-to-date information, please visit the New York State Department of Health website.

Hey folks, thanks for sticking with me through this deep dive into the Medicaid income limit in New York. I know it’s not the most exciting topic, but it’s important stuff to know if you’re trying to get healthcare coverage. If you have any more questions or if you want to learn more about Medicaid in general, be sure to check out the links I’ve included throughout the article. And don’t forget to come back and visit again soon for more informative and engaging articles. Until next time, keep your head up and your finances in check!