Florida Medicaid Income Limits 2026: Chart by Household Size & Family of 4
Quick answer: Florida has not taken the ACA's 138% FPL expansion, so there is no 138% FPL adult ceiling. The only adult standard in the national table is the parents and caretaker relatives category — roughly 24% FPL, converted by CMS from the state's dollar-based standard. Children and pregnant women qualify at much higher levels. The chart below lists the Florida Medicaid income requirements and guidelines for 2026 — all effective cutoffs including the 5% MAGI disregard, computed from the official 2026 FPL table (ASPE / Federal Register). State standards are from the CMS national eligibility table, as of 2023-12-01.
Florida Medicaid is the Florida Medicaid program — children's coverage runs under Florida KidCare (children). The 2026 Florida Medicaid income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.
Verification: Florida DCF's income page renders its figures client-side; no percentages in the HTML.
Children 0-11 (Medicaid) — 2026 income limits
211% FPL effectiveChildren 0-11 (Medicaid) income limits 2026: 211% of the federal poverty level — about $2,806/month for a household of 1 and $5,803/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,806 | $3,805 | $4,804 | $5,803 | $6,801 | $7,800 | $8,799 | $9,797 |
Base standard 206% FPL + 5% MAGI disregard = 211% effective. Larger households: add roughly $999/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 1-5 (Medicaid) — 2026 income limits
145% FPL effectiveChildren 1-5 (Medicaid) income limits 2026: 145% of the federal poverty level — about $1,929/month for a household of 1 and $3,988/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,929 | $2,615 | $3,301 | $3,988 | $4,674 | $5,360 | $6,047 | $6,733 |
Base standard 140% FPL + 5% MAGI disregard = 145% effective. Larger households: add roughly $686/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 6-18 (Medicaid) — 2026 income limits
138% FPL effectiveChildren 6-18 (Medicaid) income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,835 | $2,489 | $3,142 | $3,795 | $4,448 | $5,101 | $5,755 | $6,408 |
Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children (separate CHIP — Florida KidCare) — 2026 income limits
215% FPL effectiveChildren (separate CHIP — Florida KidCare) income limits 2026: 215% of the federal poverty level — about $2,860/month for a household of 1 and $5,913/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,860 | $3,877 | $4,895 | $5,913 | $6,930 | $7,948 | $8,966 | $9,983 |
Base standard 210% FPL + 5% MAGI disregard = 215% effective. Larger households: add roughly $1,018/month per additional person.
Separate CHIP coverage for uninsured children above the Medicaid children's ceiling. Benefits match Medicaid; small copays may apply for some services. CMS lists this as a CHIP-funded Medicaid expansion covering children up to age 19 (footnote 1 of the national table), under the Florida KidCare name.
Pregnant women (Medicaid) — 2026 income limits
196% FPL effectivePregnant women (Medicaid) income limits 2026: 196% of the federal poverty level — about $2,607/month for a household of 1 and $5,390/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,607 | $3,535 | $4,462 | $5,390 | $6,318 | $7,245 | $8,173 | $9,101 |
Base standard 191% FPL + 5% MAGI disregard = 196% effective. Larger households: add roughly $928/month per additional person.
Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage.
Parents & caretaker relatives (Medicaid) — 2026 income limits
State dollar standard (CMS equivalent 24% FPL)Parents & caretaker relatives (Medicaid) income limits 2026:
The parents and caretaker relatives category. In states that expanded Medicaid, parents above this standard may qualify through the adult expansion group instead. CMS converted this state's dollar-amount standard to a percentage of FPL (footnote 4 of the national table); the state determines eligibility in dollars, not percent.
Florida has not expanded Medicaid to adults under the ACA, so there is no 138% FPL adult group and the 2027 work requirement has no expansion population to apply to. The parents and caretaker relatives category is Florida's adult standard. Children and pregnant women qualify at much higher levels, shown below. Figures are computed from the official 2026 federal poverty guidelines.
MAGI household size follows federal tax-filing relationships, not who lives under your roof - and a pregnant applicant counts the expected child(ren).
Florida Medicaid income limits 2025 (prior year)
If you are checking last year's figures — for example florida medicaid income limits 2025 family of 4 — here is the 2025 table, computed from the 2025 federal poverty guidelines ($15,650/year for a household of one, published January 2025). Official HHS 2025 Poverty Guidelines (48 contiguous states and DC): first person $15,650, each additional person +$5,500, four-person family $32,150, published January 2025 in the Federal Register. States adopt each year's guidelines into their MAGI income standards early in the year, so 2025 figures applied to most determinations during 2025 and into early 2026.
| Coverage group | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 |
|---|---|---|---|---|---|
| Children 0-11 (Medicaid) | $2,752 | $3,719 | $4,686 | $5,653 | $6,620 |
| Children 1-5 (Medicaid) | $1,891 | $2,556 | $3,220 | $3,885 | $4,549 |
| Children 6-18 (Medicaid) | $1,800 | $2,432 | $3,065 | $3,697 | $4,330 |
| Children (separate CHIP — Florida KidCare) | $2,804 | $3,789 | $4,775 | $5,760 | $6,746 |
| Pregnant women (Medicaid) | $2,556 | $3,455 | $4,353 | $5,251 | $6,150 |
For anything decided today, use the 2026 tables above — those are the figures Florida Department of Children and Families (ACCESS) / Agency for Health Care Administration applies now.
Frequently asked questions
What is the Florida Medicaid income limit in 2026?
It depends on the coverage group. Florida has not taken the ACA's 138% FPL expansion, so there is no 138% FPL adult ceiling. The only adult standard in the national table is the parents and caretaker relatives category — roughly 24% FPL, converted by CMS from the state's dollar-based standard. Children and pregnant women qualify at much higher levels.
What income is too high for Medicaid in Florida?
There is no single number — every coverage group has its own ceiling. In Florida, adults have no expansion ceiling; the parents and caretakers standard runs to roughly 24% FPL. Children and pregnant women stay covered at much higher levels: children to 211% FPL and pregnant women to 196% FPL.
What is the income limit for Children 0-11 in Florida?
Children 0-11 (Medicaid): 211% of the federal poverty level, about $2,806/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children 1-5 in Florida?
Children 1-5 (Medicaid): 145% of the federal poverty level, about $1,929/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children 6-18 in Florida?
Children 6-18 (Medicaid): 138% of the federal poverty level, about $1,835/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children in Florida?
Children (separate CHIP — Florida KidCare): 215% of the federal poverty level, about $2,860/month for a household of one. Separate CHIP coverage for uninsured children above the Medicaid children's ceiling. Benefits match Medicaid; small copays may apply for some services. CMS lists this as a CHIP-funded Medicaid expansion covering children up to age 19 (footnote 1 of the national table), under the Florida KidCare name.
What is the income limit for Pregnant women in Florida?
Pregnant women (Medicaid): 196% of the federal poverty level, about $2,607/month for a household of one. Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage.
What are the Florida Medicaid income limits for seniors (65 and older)?
The limits above are MAGI standards for children, pregnant women, parents and adults under 65. People 65 or older (and people with disabilities of any age) qualify under separate non-MAGI categories with their own dollar limits, which can include an asset test. Florida Department of Children and Families (ACCESS) / Agency for Health Care Administration publishes those figures and makes the final determination.
What are the Florida Medicaid income limits in 2026?
Florida Medicaid is the Florida Medicaid program; children's coverage runs under Florida KidCare (children). Its income limits are the ones on this page: Florida has not taken the ACA's 138% FPL expansion, so there is no 138% FPL adult ceiling. The only adult standard in the national table is the parents and caretaker relatives category — roughly 24% FPL, converted by CMS from the state's dollar-based standard. Children and pregnant women qualify at much higher levels.
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Reviewed by Gavin YE, Technical Director, ClearRules Labs.
Page last reviewed 2026-09-21
