Illinois Medicaid Eligibility Calculator 2025
Step 1: Enter your personal information including age, date of birth, and marital status.
Step 2: Provide household details including total household size and number of dependents.
Step 3: Input all sources of monthly income including employment, Social Security, and other benefits.
Step 4: Enter your total assets including bank accounts, investments, and property (excluding your primary residence).
Step 5: Check applicable boxes for pregnancy, disability, or Medicare status.
Step 6: Review your eligibility results and recommended programs in the output section.
Important Notes: Income limits are based on Federal Poverty Level percentages. MAGI programs include a 5% income disregard. Asset limits vary by program type. Spenddown options may be available if you exceed income limits.
Frequently Asked Questions
What is the Illinois Medicaid income limit for 2025?
Illinois Medicaid income limits for 2025 are 138% of the Federal Poverty Level for adults. This equals about $2,050 monthly for one person. Families of four can earn up to $4,200 monthly. These limits help determine if you qualify for coverage.
How do I calculate my Illinois Medicaid eligibility for 2025?
You can calculate Illinois Medicaid eligibility by comparing your income to 138% FPL. Count all household income including wages and benefits. Use the official Illinois DHS calculator or visit HealthCare.gov. Don't count certain deductions like work expenses.
What counts as income for Illinois Medicaid eligibility in 2025?
Illinois Medicaid counts wages, Social Security, pensions, and unemployment benefits as income. Child support and rental income also count. However, some things don't count like gifts under $20. The state uses Modified Adjusted Gross Income (MAGI) rules.
Can seniors get Illinois Medicaid with higher income limits in 2025?
Yes, Illinois seniors can qualify for Medicaid with higher income. Single seniors earning up to $1,304 monthly qualify for long-term care. Married couples can earn up to $1,762 monthly combined. These limits are for nursing home and home care services.
Does Illinois have asset limits for Medicaid eligibility in 2025?
Illinois expanded Medicaid doesn't have asset limits for most adults. Your home and car don't count against you. However, long-term care Medicaid has a $2,000 asset limit. Married couples can keep up to $154,140 in assets.
How often should I check my Illinois Medicaid eligibility in 2025?
Check your Illinois Medicaid eligibility when your income changes significantly. Also check during annual renewals or life changes. Pregnancy, job loss, or family size changes affect eligibility. You can reapply anytime if circumstances change.
What's the fastest way to apply for Illinois Medicaid in 2025?
The fastest Illinois Medicaid application is online through HealthCare.gov or ABE.illinois.gov. You'll get an instant eligibility decision for most cases. You can also apply by phone or mail. Emergency Medicaid applications process within 24 hours.
Can I get Illinois Medicaid if I'm pregnant in 2025?
Yes, pregnant women in Illinois qualify for Medicaid with higher income limits. You can earn up to 208% of Federal Poverty Level. This equals about $3,100 monthly for one person. Coverage starts immediately and continues 12 months after delivery.
Do children have different Illinois Medicaid income limits in 2025?
Yes, Illinois children have higher Medicaid income limits than adults. Kids qualify with family income up to 142% of FPL. Some children qualify with even higher family income. Age and family size determine the exact income limit for each child.