Indiana Medicaid Income Limits 2026: Chart by Household Size & Family of 4
Quick answer: most Indiana adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels. The chart below lists the Indiana 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.
Healthy Indiana Plan is the Indiana Medicaid program — children's coverage runs under Hoosier Healthwise (children). The 2026 Healthy Indiana Plan income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.
Indiana Medicaid work requirement 2027: the federal work-requirement deadline for Indiana is January 1, 2027. The income cutoffs on this page are the 2026 figures in effect now; see the Indiana work-requirement page for hours, exemptions and the reporting timeline.
Verification: Indiana's Medicaid eligibility guide names no FPL percentages.
Adults 19-64 (expansion group) — 2026 income limits
138% FPL effectiveAdults 19-64 (expansion group) 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.
The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
Children 0-11 (Medicaid) — 2026 income limits
213% FPL effectiveChildren 0-11 (Medicaid) income limits 2026: 213% of the federal poverty level — about $2,833/month for a household of 1 and $5,858/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 | $2,833 | $3,841 | $4,849 | $5,858 | $6,866 | $7,874 | $8,882 | $9,890 |
Base standard 208% FPL + 5% MAGI disregard = 213% effective. Larger households: add roughly $1,008/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 1-5 (Medicaid) — 2026 income limits
163% FPL effectiveChildren 1-5 (Medicaid) income limits 2026: 163% of the federal poverty level — about $2,168/month for a household of 1 and $4,483/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 | $2,168 | $2,939 | $3,711 | $4,483 | $5,254 | $6,026 | $6,797 | $7,569 |
Base standard 158% FPL + 5% MAGI disregard = 163% effective. Larger households: add roughly $772/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 6-18 (Medicaid) — 2026 income limits
163% FPL effectiveChildren 6-18 (Medicaid) income limits 2026: 163% of the federal poverty level — about $2,168/month for a household of 1 and $4,483/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 | $2,168 | $2,939 | $3,711 | $4,483 | $5,254 | $6,026 | $6,797 | $7,569 |
Base standard 158% FPL + 5% MAGI disregard = 163% effective. Larger households: add roughly $772/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children (separate CHIP — Hoosier Healthwise) — 2026 income limits
255% FPL effectiveChildren (separate CHIP — Hoosier Healthwise) income limits 2026: 255% of the federal poverty level — about $3,392/month for a household of 1 and $7,013/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 | $3,392 | $4,599 | $5,806 | $7,013 | $8,220 | $9,427 | $10,634 | $11,841 |
Base standard 250% FPL + 5% MAGI disregard = 255% effective. Larger households: add roughly $1,207/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 Hoosier Healthwise name.
Pregnant women (Medicaid) — 2026 income limits
213% FPL effectivePregnant women (Medicaid) income limits 2026: 213% of the federal poverty level — about $2,833/month for a household of 1 and $5,858/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 | $2,833 | $3,841 | $4,849 | $5,858 | $6,866 | $7,874 | $8,882 | $9,890 |
Base standard 208% FPL + 5% MAGI disregard = 213% effective. Larger households: add roughly $1,008/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 15% 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.
Indiana publishes MAGI standards as a percent of FPL and applies the federal 5-percentage-point income disregard when it makes someone eligible, so each group has a base standard and a slightly higher effective cutoff. The tables below show the effective figures in dollars, computed from the official 2026 federal poverty guidelines. Indiana's expansion group is delivered as Healthy Indiana Plan (HIP 2.0).
MAGI household size follows federal tax-filing relationships, not who lives under your roof - and a pregnant applicant counts the expected child(ren).
Frequently asked questions
What is the Indiana Medicaid income limit in 2026?
It depends on the coverage group. most Indiana adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.
What is the Indiana Medicaid income limit for a family of 2?
Adults 19-64 (expansion group) — 138% of the federal poverty level, about $2,489/month for a family of 2 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the Indiana Medicaid income limit for a family of 3?
Adults 19-64 (expansion group) — 138% of the federal poverty level, about $3,142/month for a family of 3 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the Indiana Medicaid income limit for a family of 4?
Adults 19-64 (expansion group) — 138% of the federal poverty level, about $3,795/month for a family of 4 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the Indiana Medicaid income limit for a family of 5?
Adults 19-64 (expansion group) — 138% of the federal poverty level, about $4,448/month for a family of 5 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What income is too high for Medicaid in Indiana?
There is no single number — every coverage group has its own ceiling. In Indiana, an adult under 65 qualifies with household income up to $1,835/month for one person (138% FPL). Go above that and the adult group no longer covers you. Children and pregnant women stay covered at much higher levels: children to 213% FPL and pregnant women to 213% FPL.
What is the income limit for Adults 19-64 in Indiana?
Adults 19-64 (expansion group): 138% of the federal poverty level, about $1,835/month for a household of one. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the income limit for Children 0-11 in Indiana?
Children 0-11 (Medicaid): 213% of the federal poverty level, about $2,833/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 Indiana?
Children 1-5 (Medicaid): 163% of the federal poverty level, about $2,168/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 Indiana?
Children 6-18 (Medicaid): 163% of the federal poverty level, about $2,168/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children in Indiana?
Children (separate CHIP — Hoosier Healthwise): 255% of the federal poverty level, about $3,392/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 Hoosier Healthwise name.
What are the Indiana 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. Indiana Family and Social Services Administration publishes those figures and makes the final determination.
What are the Healthy Indiana Plan income limits in 2026?
Healthy Indiana Plan is the Indiana Medicaid program; children's coverage runs under Hoosier Healthwise (children). Its income limits are the ones on this page: most Indiana adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. 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