Medicaid (Annual and Monthly) Income Levels for Pregnant Women and Children
Household Income
| % FPL |
Period |
Household Size |
Period |
| Two |
Three |
Four |
Five |
Six |
Seven |
Eight |
Each Additional Person |
| 100% |
Annual |
14,710 |
18,530 |
22,350 |
26,170 |
29,990 |
33,810 |
37,630 |
+3,820 |
Annual |
| Monthly |
1,226 |
1,545 |
1,863 |
2,181 |
2,500 |
2,818 |
3,136 |
+319 |
Monthly |
| 133% |
Annual |
19,565 |
24,645 |
29,726 |
34,807 |
39,887 |
44,968 |
50,048 |
+5,081 |
Annual |
| Monthly |
1,631 |
2,054 |
2,478 |
2,901 |
3,324 |
3,748 |
4,171 |
+424 |
Monthly |
| 200% |
Annual |
29,420 |
37,060 |
44,700 |
52,340 |
59,980 |
67,620 |
75,260 |
+7,640 |
Annual |
| Monthly |
2,452 |
3,089 |
3,725 |
4,362 |
4,999 |
5,635 |
6,272 |
+637 |
Monthly |
- Pregnant women and infants under age one are eligible at 200%
- A pregnant woman counts as two
- Children 1-5 years of age are eligible at 133%
- Children 6-18 years of age are eligible at 100%
