Apple Health Income Limits 2026: Washington Charts by Family Size
Quick answer: most Washington 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 Washington 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.
Apple Health is the Washington Medicaid program — children's coverage runs under Apple Health for Kids (children). The 2026 Apple Health income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.
Washington Medicaid work requirement 2027: the federal work-requirement deadline for Washington is January 1, 2027. The income cutoffs on this page are the 2026 figures in effect now; see the Washington work-requirement page for hours, exemptions and the reporting timeline.
Verification: All figures except the parents dollar schedule come from the CMS national eligibility table (2023-12-01 snapshot): children 210%, separate CHIP 312%, pregnant 193%, expansion 133%. The parents standard is dollar-based (CMS equivalent ~33% FPL); exact dollars pending verification against HCA.
Adults 19-64 (Apple Health expansion group) — 2026 income limits
138% FPL effectiveAdults 19-64 (Apple Health 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. Delivered through Apple Health managed-care plans. No asset test.
Children 0-18 (Medicaid) — 2026 income limits
215% FPL effectiveChildren 0-18 (Medicaid) 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.
Medicaid coverage for children. No premiums and no asset test.
Children (separate CHIP — Apple Health for Kids) — 2026 income limits
317% FPL effectiveChildren (separate CHIP — Apple Health for Kids) income limits 2026: 317% of the federal poverty level — about $4,216/month for a household of 1 and $8,718/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 | $4,216 | $5,717 | $7,217 | $8,718 | $10,218 | $11,718 | $13,219 | $14,719 |
Base standard 312% FPL + 5% MAGI disregard = 317% effective. Larger households: add roughly $1,500/month per additional person.
Separate CHIP coverage for children above the Medicaid children's ceiling, under the Apple Health for Kids brand. Benefits match Medicaid; small copays may apply for some services.
Pregnant women — 2026 income limits
198% FPL effectivePregnant women income limits 2026: 198% of the federal poverty level — about $2,633/month for a household of 1 and $5,445/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 | $2,633 | $3,571 | $4,508 | $5,445 | $6,382 | $7,319 | $8,257 | $9,194 |
Base standard 193% FPL + 5% MAGI disregard = 198% effective. Larger households: add roughly $937/month per additional person.
Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage. No asset test.
Parents & caretaker relatives (dollar standard) — 2026 income limits
State dollar standard (CMS equivalent 33% FPL)Parents & caretaker relatives (dollar standard) income limits 2026: Washington sets the parents/caretaker income standard in dollars rather than as an FPL percentage; CMS converts it to an equivalent of about 33% FPL for this group. We do not print a dollar schedule until it is verified against the Health Care Authority — contact HCA at 1-800-562-3022 for the exact figures. Parents above this standard qualify through the adult expansion group instead.
Washington sets the parents/caretaker income standard in dollars rather than as an FPL percentage; CMS converts it to an equivalent of about 33% FPL for this group. We do not print a dollar schedule until it is verified against the Health Care Authority — contact HCA at 1-800-562-3022 for the exact figures. Parents above this standard qualify through the adult expansion group instead.
The parents and caretaker relatives category, set in dollars by the state (CMS equivalent ~33% FPL).
Washington 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. Expansion adults are covered as Apple Health through managed-care plans.
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 Washington Medicaid income limit in 2026?
It depends on the coverage group. most Washington 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 Washington Medicaid income limit for a family of 2?
Adults 19-64 (Apple Health 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. Delivered through Apple Health managed-care plans. No asset test.
What is the Washington Medicaid income limit for a family of 3?
Adults 19-64 (Apple Health 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. Delivered through Apple Health managed-care plans. No asset test.
What is the Washington Medicaid income limit for a family of 4?
Adults 19-64 (Apple Health 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. Delivered through Apple Health managed-care plans. No asset test.
What is the Washington Medicaid income limit for a family of 5?
Adults 19-64 (Apple Health 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. Delivered through Apple Health managed-care plans. No asset test.
What income is too high for Medicaid in Washington?
There is no single number — every coverage group has its own ceiling. In Washington, 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 215% FPL and pregnant women to 198% FPL.
What is the income limit for Adults 19-64 in Washington?
Adults 19-64 (Apple Health 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. Delivered through Apple Health managed-care plans. No asset test.
What is the income limit for Children 0-18 in Washington?
Children 0-18 (Medicaid): 215% of the federal poverty level, about $2,860/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children in Washington?
Children (separate CHIP — Apple Health for Kids): 317% of the federal poverty level, about $4,216/month for a household of one. Separate CHIP coverage for children above the Medicaid children's ceiling, under the Apple Health for Kids brand. Benefits match Medicaid; small copays may apply for some services.
What is the income limit for Pregnant women in Washington?
Pregnant women: 198% of the federal poverty level, about $2,633/month for a household of one. Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage. No asset test.
What are the Washington 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. Washington State Health Care Authority (HCA) publishes those figures and makes the final determination.
What are the Apple Health income limits in 2026?
Apple Health is the Washington Medicaid program; children's coverage runs under Apple Health for Kids (children). Its income limits are the ones on this page: most Washington 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