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 |
15,130 |
19,090 |
23,050 |
27,010 |
30,970 |
34,930 |
38,890 |
+3,960 |
Annual |
| Monthly |
1,261 |
1,591 |
1,921 |
2,251 |
2,581 |
2,911 |
3,241 |
+330 |
Monthly |
| 133% |
Annual |
20,123 |
25,390 |
30,657 |
35,924 |
41,191 |
46,457 |
51,724 |
+5,267 |
Annual |
| Monthly |
1,677 |
2,116 |
2,555 |
2,994 |
3,433 |
3,872 |
4,311 |
+439 |
Monthly |
| 200% |
Annual |
30,260 |
38,180 |
46,100 |
54,020 |
61,940 |
69,860 |
77,780 |
+7,920 |
Annual |
| Monthly |
2,522 |
3,182 |
3,842 |
4,502 |
5,162 |
5,822 |
6,482 |
+660 |
Monthly |
- Pregnant women and infants under age one are eligible at 200%
- A pregnant woman counts as two
- Children 1 through 18 years of age are eligible at 133%
