Quick answer: In 2025, Georgia Medicaid income limits depend on who you are and household size.
- Adults 19–64 (Pathways to Coverage): up to 100% FPL (e.g., $1,304/mo for 1 person; $2,679/mo for 4).
- Pregnant women: up to 220% FPL (e.g., $3,878/mo for 2).
- Kids: under age 1 up to 205% FPL; ages 1–5 up to 149% FPL; ages 6–19 up to 133% FPL.
- Parents/Caretakers: very low limits (e.g., $653/mo for a family of 4).
What “FPL” means (in 1 minute)
FPL = Federal Poverty Level. It’s a national income line that changes with household size. Georgia Medicaid rules set different percentages of FPL for each group (adults, kids, pregnancy).
- 100% FPL is the base line.
- 200% FPL means double that income, and so on.
Your household size includes you, your spouse, and tax dependents.
Georgia Medicaid Income Limits 2025 — Monthly & Annual
Use this table for kids, pregnancy, parents/caretakers, and special limited-coverage programs.
(“RSM” is Georgia’s family/kids coverage category. “PCK” is PeachCare for Kids® (CHIP). “P4HB” is Planning for Healthy Babies®. “WHM” is family-planning/labs only.)
| Household | Medically Needy (PG & Children) | Parent/Caretaker (child <19) | Child 6–19 (133% FPL) | Child 1–5 (149% FPL) | Child 0–1 (205% FPL) | Pregnant Women (220% FPL) | PeachCare (PCK) (247% FPL) | P4HB (211% FPL) | WHM (200% FPL) |
|---|---|---|---|---|---|---|---|---|---|
| 1 | $208/mo · $2,496/yr | $310/mo · $3,720/yr | $1,735/mo · $20,820/yr | $1,944/mo · $23,328/yr | $2,675/mo · $32,100/yr | N/A | $3,223/mo · $38,676/yr | $2,753/mo · $33,036/yr | $2,610/mo · $31,320/yr |
| 2 | $317 · $3,804 | $457 · $5,484 | $2,344 · $28,128 | $2,626 · $31,512 | $3,614 · $43,368 | $3,878 · $46,536 | $4,354 · $52,248 | $3,719 · $44,628 | $3,526 · $42,312 |
| 3 | $375 · $4,500 | $551 · $6,612 | $2,952 · $35,424 | $3,307 · $39,684 | $4,551 · $54,612 | $4,884 · $58,608 | $5,483 · $65,796 | $4,684 · $56,208 | $4,440 · $53,280 |
| 4 | $442 · $5,304 | $653 · $7,836 | $3,563 · $42,756 | $3,991 · $47,892 | $5,491 · $65,892 | $5,893 · $70,716 | $6,617 · $79,404 | $5,652 · $67,824 | $5,358 · $64,296 |
Tip: Larger families have higher limits. If your household is bigger than 4, use the calculator for the exact number.
Adults 19–64: Georgia Pathways to Coverage™ (100% FPL)
Adults who don’t qualify for “traditional” Medicaid may qualify through Pathways if income is at or below 100% FPL and other rules are met.
| Household | Monthly (avg) | Annual |
|---|---|---|
| 1 | $1,304 | $15,650 |
| 2 | $1,763 | $21,150 |
| 3 | $2,221 | $26,650 |
| 4 | $2,679 | $32,150 |
Note: Pathways also requires at least 80 hours/month of qualifying activities (work, school, training, etc.). Some exceptions apply.
Who typically qualifies in Georgia?
- Pregnant people (higher limits) and infants/children (limits vary by age).
- Parents/caretakers living with a minor child (very low income limits).
- Adults 19–64 via Pathways if income ≤100% FPL and activity rules are met.
- Special groups: Aged, Blind, or Disabled (ABD), medically needy (spenddown), and limited-benefit programs like WHM and P4HB.
FAQs
1) What counts as income for Georgia Medicaid?
Mostly gross income (before taxes) from jobs, self-employment, unemployment, and some benefits. Certain deductions and exclusions apply by program. When in doubt, run the calculator and apply.
2) Do unborn babies count in household size?
Yes—pregnancy is counted in household size for pregnancy-related coverage. That’s why there’s no “1-person” line for the pregnant-women column in the table.
3) Can I get Georgia Medicaid as an adult without kids?
Possibly through Pathways if your income is ≤100% FPL and you meet the 80 hours/month qualifying activities rule. Some exceptions and good-cause protections exist.
4) My income is a little over the limit—any options?
Check PeachCare for Kids® for children and P4HB/WHM for limited benefits. Some people can also qualify under Medically Needy (spenddown) when medical bills are high.
5) How often do limits change?
FPL updates happen each year. Georgia updates program charts after that. Always use the current year table and the calculator before you apply.
6) What documents will I need?
Proof of identity, Georgia residency, citizenship/eligible status, and income (pay stubs, award letters, etc.). Keep recent papers ready to speed up your case.
Conclusion
Georgia’s 2025 Medicaid limits are higher for pregnancy and kids, very low for parents/caretakers, and 100% FPL for adults under Pathways. The easiest way to know your status is to run your numbers.