Medicaid Eligibility Calculator 2026
Find out if you qualify for Medicaid based on your state, household size, and income — including expansion states, non-expansion states, and the coverage gap.
What is Medicaid Expansion?
Under the ACA, states can expand Medicaid to cover adults earning up to 138% of the Federal Poverty Level. As of 2026, 38 states + D.C. have expanded. In the 12 non-expansion states, adults who earn too little for ACA subsidies may fall into a coverage gap — with no affordable coverage option.
2026 FPL for 1-person household: $15,650
Additional Eligibility Factors
Enter your information above
Select your state and enter your household size and income to see your Medicaid eligibility.
Medicaid Income Limits for 1-Person Household (2026)
✅ AK, AZ, AR, CA, CO, CT, DE, DC, HI, IL, IN, IA, KY, LA, ME, MD, MA, MI, MN, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SD, UT, VA, VT, WA, WV
⚡ Not full expansion — covers adults to 100% FPL via Section 1115 waiver (BadgerCare Plus)
❌ AL, FL, GA, ID, KS, MS, SC, TN, TX, WY — traditional Medicaid rules only
Key Facts About Medicaid Expansion
138% FPL threshold: In expansion states, any adult earning up to 138% of the FPL can qualify for Medicaid regardless of whether they have children. Before the ACA, most states required having dependent children.
Free or nearly free: Medicaid has no monthly premiums for most enrollees and only minimal copays. It covers doctor visits, hospital care, prescriptions, mental health, dental (in many states), and more.
No enrollment period: Unlike marketplace plans, Medicaid has no annual open enrollment window. You can apply and be approved any time of year, with coverage often starting the month you apply.
Pregnant women and children: Even in non-expansion states, pregnant women and children typically have access to Medicaid or CHIP with higher income thresholds than adults without children.
Based on 2026 FPL guidelines. Medicaid eligibility varies by state and individual circumstances. This tool provides estimates only — actual eligibility is determined by your state Medicaid agency. Not all adults in non-expansion states are automatically ineligible; additional pathways exist for those with disabilities, dependent children, or other qualifying factors. This is for educational purposes only and is not legal, tax, or insurance advice. Verify eligibility through HealthCare.gov or your state Medicaid agency.