Am I Eligible?

Program Requirements

There are two sets of requirements. One is general program terms, and the second involves a family’s financial situation. Families must meet both program and financial terms to be eligible for Medicaid or CHIP.

A member must:
  • Be a U.S. citizen or meet certain immigration rules
  • Be a resident of the state where the application is processed
  • Have a Social Security number

Programs are also designed to accommodate certain groups.


no-cost healthcare coverage for:
  • Low-income families
  • Newborns
  • Children
  • Pregnant women
  • Adults
Learn More


no-cost healthcare coverage for:
  • Low-income families
  • Children who have a disability
  • Young adults, ages 20 and younger, who have a disability
Learn More


Low-cost healthcare coverage for those who do not qualify for Medicaid:
  • Newborns
  • Children up to 18 years old
  • Prenatal care for pregnant women
Learn More

Financial Terms

Use the chart below to determine whether your family qualifies for Medicaid or CHIP.

Family Size*Maximum Monthly Income for MedicaidMaximum Monthly Income for CHIP
For each additional person, add: $570 for Medicaid. $861 for CHIP.

If you meet the above requirements, you are ready to move forward.

Am I Eligible?

Check your family’s size and income 
to verify program qualifications.

What Does it Cost?

See how costs vary based on the program and eligibility.

How Do I Enroll?

Follow our step-by-step enrollment guide.

View Guide

Application Assistance

Do you need help with the enrollment process?

Complete this form and a Member Services representative will contact you to assist.
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