Is there an age limit for Medicaid?

Asked by: Dr. Sydney Will IV  |  Last update: December 2, 2025
Score: 4.4/5 (12 votes)

The Affordable Care Act of 2010 created the opportunity for states to expand Medicaid to cover nearly all low-income Americans under age 65.

What disqualifies you from Medicaid?

In general, a single person must have no more than $2,000 in cash assets to qualify. If you're over 65, the requirements are more complex. Whatever your age, there are strict rules about asset transfers. Medicaid may take into consideration any gifts or transfers of cash you've made recently.

What is the cut-off for Medicaid in Illinois?

Illinois offers Medicaid coverage for people with disabilities with income up to 100% of the federal poverty level (monthly income of $1,012 for an individual) and non-exempt resources (assets) of no more than $2,000 (for one person).

Who is eligible for Medicaid in Michigan for seniors?

In 2025, a single Nursing Home Medicaid applicant in Michigan must meet the following criteria: 1) Income under $2,901 / month 2) Assets under $2,000 3) Require a Nursing Home Level of Care.

Can adults get Medicaid in Georgia?

Georgia Pathways to Coverage™ offers Medicaid coverage to eligible Georgians who are U.S. citizens or legally residing non-citizens, are ages 19-64 who have a household income of up to 100 percent of the Federal Poverty Level (FPL), are not otherwise eligible for traditional Medicaid, are not incarcerated, and can ...

Medicaid Eligibility - Medicaid Income and Asset Limits – 2024

33 related questions found

What age does Medicaid stop in Georgia?

Medicaid is a medical assistance program that provides health coverage for children under 19 years of age, pregnant women, families with dependent children under 19 years of age, and people who are aged, blind and/or disabled and whose income is insufficient to meet the cost of necessary medical services.

Will I lose my Medicaid if I get Medicare?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

How often does Medicaid check your income?

Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What happens if you make too much money while on Medicaid?

If you're over the Medicaid income limit, some states let you spend down extra income or place it in a trust to help you qualify for Medicaid. If you receive long-term care but your spouse doesn't, Medicaid will allow your spouse to keep enough income to avoid living in poverty.

What disabilities qualify you for Medicaid in Georgia?

ABD Medicaid in Georgia serves persons who are 65 years of age or older, legally blind and/or totally disabled.

Who gets denied Medicaid?

The most common reason an applicant is denied Medicaid is income or assets above the eligibility criteria. In most states in 2025, an applicant's monthly income must be less than $2,901/month, and their assets (including money in bank accounts) must be less than $2,000.

What is the monthly income limit for Medicaid in Illinois?

This may include medical care/treatment/supplies, nursing home services, in-home personal care, Medicare premiums, and prescription drugs. Effective April 2024 – March 2025, the medically needy income limit (MNIL) in IL is $1,255 / month for an individual and $1,703 / month for a couple.

What are the limitations to Medicaid?

Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.

What happens if you have more than $2000 in the bank on SSI?

If the value of your resources that we count is over the allowable limit at the beginning of the month, you cannot receive SSI for that month. If you decide to sell the excess resources for what they are worth, you may receive SSI beginning the month after you sell the excess resources.

Will I lose Medicaid if I lose SSI?

IF MY SSI STOPS BECAUSE OF THE AMOUNT OF MY EARNINGS, CAN I STILL KEEP MY MEDICAID? Your earnings would not replace the value of your SSI cash benefits, your Medicaid benefits, and any publicly funded personal or attendant care you receive that would be lost due to your earnings.

What is the $943 Social Security payment?

If you're wondering about the amounts for these SSI checks, the SSA has set a maximum monthly amount of $943 for individuals and up to $1,415 for couples in 2024. Some states even offer additional SSI supplements, increasing the overall payment for residents of places like California and New York.

Can you keep Medicaid after 65?

To be clear, Medicaid remains available after age 65 and many older adults rely on it — for example, the majority of nursing home residents in the United States have Medicaid coverage in addition to their Medicare coverage. But once you turn 65, eligibility for Medicaid is based on both income and assets.

Is it better to be on Medicare or Medicaid?

While Medicare is the primary payer for medical needs, Medicaid can cover costs that Medicare coverage does not. When you visit a provider that takes both Medicare and Medicaid, Medicare pays first for the cost of your care. Medicaid pays second, covering copays and other costs not covered.

Who gets both Medicare and Medicaid?

Medicare-Medicaid enrollees include people ages 65 and over who are in relatively good health but have limited financial resources and people who at one time, may have had more financial resources, but spent their income and wealth on health or long-term care costs.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

What is the cut-off age for medical insurance?

The Affordable Care Act requires plans and issuers that offer dependent child coverage to make the coverage available until a child reaches the age of 26. Both married and unmarried children qualify for this coverage. This rule applies to all plans in the individual market and to all employer plans.