Texas Medicaid & CHIP Eligibility Information (2024)

Medicaid is a government-run health insurance programthat provides health insurance to lower-income Americans.Over 75 million adults and children are enrolled in Medicaid.This page has eligibility information for the most common Texas Medicaid eligibility pathwaysfor children and adults up to 65 who do not have a disability(in other words, for someone generally not Medicare eligible).

If a household's income is too high to receive Medicaid,CHIP (the Children's Health Insurance Program)also offers health insurance options for childrenand has a higher income limit.

Eligibility for Medicaid requires meeting an income limit that is based on your household size.There is no asset test. For comparing your income to the tables below, use the combined incomefrom all household members from jobs and other sources,except for child support, Supplemental Security Income, and children's non-taxable income(like disability payments).Read more about how income is counted.

Even if you're not eligible for Medicaid, you could get a significant discount (sometimes up to 90%)off of your monthly health insurance premium payments on plans purchased throughhealthcare.gov. The amount of thepremium discount is based on your income.Read more about the premium tax credit.

Please note: there are more Medicaid pathways available that are not listed on this page.For example if you are 65 years or older, have a disability, or have other specifichealth conditions, you may be eligible for additional Medicaid pathways that have other income and/or assetbased eligibility criteria.

This information was collected from medicaid.gov and state Medicaid/CHIP resources but is not official.This website is not affiliated with any government organization or health program.

Medicaid Pathways Overview

Medicaid eligibility is based on your income relative to the Federal Poverty Level (FPL),which adjusts with household size.To qualify, your income must fall below the specified limit as percentage of the FPL.

Medicaid Pathways as a Percentage of FPL

Medicaid Income Limits for Adults 19-64

Texas doesn't have a standard Medicaid pathway for most adults without children.

Medicaid Income Limits for Parents

To qualify, you typically need to be a parent with a dependent child under 18 years old.

Households with One Parent

1 person
$165 / month
2 people
$281 / month
3 people
$337 / month
4 people
$407 / month
5 people
$481 / month
6 people
$555 / month
7 people
$630 / month
8 people
$704 / month
Each additional person
+$74 / month

The income limit is not set by FPL but ranges up to 17% of the FPL. For detailed information click here.

Households with Two Parents

1 person
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2 people
$246 / month
3 people
$358 / month
4 people
$415 / month
5 people
$489 / month
6 people
$563 / month
7 people
$638 / month
8 people
$712 / month
Each additional person
+$74 / month

The income limit is not set by FPL but ranges up to 17% of the FPL. For detailed information click here.

Medicaid Income Limits if Pregnant

You can qualify under this Medicaid pathway for sixty days (in most states 12 months) postpartum.

1 person
$2547 / month
2 people
$3457 / month
3 people
$4368 / month
4 people
$5277 / month
5 people
$6187 / month
6 people
$7098 / month
7 people
$8008 / month
8 people
$8917 / month
Each additional person
+$909 / month

The Medicaid income limit for those who are pregnant is 203% of the federal poverty level.

Medicaid Income Limits for Children Under 1 Year Old

1 person
$2547 / month
2 people
$3457 / month
3 people
$4368 / month
4 people
$5277 / month
5 people
$6187 / month
6 people
$7098 / month
7 people
$8008 / month
8 people
$8917 / month
Each additional person
+$909 / month

The Medicaid income limit for children under 1 year old is 203% of the federal poverty level.

Medicaid Income Limits for Children Under Age 1-5 Years Old

1 person
$1869 / month
2 people
$2537 / month
3 people
$3206 / month
4 people
$3874 / month
5 people
$4541 / month
6 people
$5210 / month
7 people
$5878 / month
8 people
$6545 / month
Each additional person
+$667 / month

The Medicaid income limit for children age 1 to 5 years old is 149% of the federal poverty level.

Medicaid Income Limits for Children Under Age 6-18 Years Old

1 person
$1731 / month
2 people
$2350 / month
3 people
$2969 / month
4 people
$3588 / month
5 people
$4206 / month
6 people
$4825 / month
7 people
$5444 / month
8 people
$6062 / month
Each additional person
+$618 / month

The Medicaid income limit for children age 6 to 18 years old is 138% of the federal poverty level.

CHIP Income Limits for Children

If a child isn't eligible for Medicaid, they still may be able to receive coverage underCHIP which has a higher income limit.

1 person
$2585 / month
2 people
$3508 / month
3 people
$4433 / month
4 people
$5355 / month
5 people
$6278 / month
6 people
$7203 / month
7 people
$8126 / month
8 people
$9049 / month
Each additional person
+$922 / month

The Medicaid income limit for children is 206% of the federal poverty level.

Links to Apply

Use the links below for official information about applying forMedicaid, CHIP, or purchasing a marketplace plan.

linkMedicaid: HealthCare.gov
Click here
linkCHIP: InsureKidsNow.gov
Click here
linkMarketplace plans: HealthCare.gov
Click here