Medicaid Income Limits Texas 2025 – What Is the Maximum Income to Qualify This Year?

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Medicaid provides essential healthcare coverage for eligible low-income individuals and families in Texas. Whether you’re a senior, a parent, or a child, knowing the Medicaid income limits for 2025 is key to determining your eligibility. These limits vary based on your circumstances, so let’s dive into the details.

Medicaid for Long-Term Care

Seniors and individuals with disabilities applying for long-term care services, such as nursing home care, must meet specific income requirements.

  • Single Applicants: Income must not exceed $2,901 per month.
  • Married Applicants (One Spouse Needs Care): The same $2,901 per month limit applies to the applicant.
  • Married Applicants (Both Spouses Need Care): The combined income limit is $5,802 per month.

Long-term care Medicaid income limits are stricter compared to other Medicaid programs, so applicants need to plan carefully.

Medicaid for Children

Children in Texas can qualify for Medicaid based on household income, with the limits varying by age group:

Childโ€™s AgeIncome Limit (% of FPL)Monthly Income for 2025 (Single Child)
Under 1 year203% of FPL$2,547
1โ€“5 years149% of FPL$1,869
6โ€“18 years138% of FPL$1,731

Medicaid ensures children have access to healthcare, helping families maintain their children’s well-being.

Medicaid for Pregnant Women

Pregnant women can qualify for Medicaid to receive necessary healthcare during pregnancy. In 2025, the income limit is 198% of the federal poverty level (FPL), equating to $2,127 per month for a single pregnant woman.

Medicaid for Parents

Parents and caretaker relatives responsible for a dependent child may qualify for Medicaid under stricter income limits.

  • Income Limit: 14% of the FPL, or approximately $1,073 per month for a single applicant.

This program ensures that families with low income can still access critical healthcare for both adults and children.

Why These Limits Matter

Medicaid income limits vary annually to account for changes in the federal poverty level (FPL). Being aware of the 2025 thresholds is vital to ensuring timely access to healthcare services. Whether youโ€™re applying for long-term care or seeking coverage for your children, understanding the criteria can help you navigate the process smoothly.

FAQs

What is the income limit for long-term care Medicaid?

For single applicants, the limit is $2,901 per month in 2025.

Can children qualify for Medicaid in Texas?

Yes, income limits vary by age and household income.

What is the income limit for pregnant women?

Itโ€™s 198% of the federal poverty level, or $2,127 per month.

Do parents qualify for Medicaid?

Yes, parents with income under $1,073 per month may qualify.

Are Medicaid income limits the same every year?

No, they adjust annually based on the federal poverty level.

Mirza

Mirza is a seasoned editor with a deep understanding of government programs and aid schemes. With years of experience in researching and analyzing policies, Mirza specializes in simplifying complex information for our readers. His expertise ensures that the latest updates and guides on government initiatives are accurate, accessible, and impactful. Passionate about community welfare, Mirza is dedicated to helping individuals navigate opportunities and benefits with ease.

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