Quick Answer (what you came for):
The Pennsylvania Medicaid income limits for 2025 vary by household size and eligibility group:
- Adults (19–64, parents/caretakers): Up to 138% FPL → $1,800/mo ($21,597/yr) for a 1-person household, $3,698/mo ($44,367/yr) for 4.
- Children (age 1–5): Up to 157% FPL (see table for monthly amounts by household size).
- Children (age 6–18): Up to 133% FPL (see table for monthly amounts by household size).
- Pregnant women & infants under 1: Up to 215% FPL (see table for monthly amounts by household size).
- Medical Assistance for Workers with Disabilities (MAWD): Income limits are higher — monthly income limit for a single person: $3,261 (2025); resource limit: $10,000.
- Institutional / Nursing Home Medicaid (2025): Monthly income limit for a single applicant: $2,901 (and $2,901 per spouse for married applicants where applicable); asset rules differ (see final thoughts/links).
👉 Use our PA Medicaid Calculator to check your eligibility instantly.
👉 Compare with other states in our Medicaid Income Limits by State 2025 guide.
Page Contents
- 1 Pennsylvania Medicaid Income Limits 2025 (Monthly & Annual)
- 2 How Pennsylvania Counts Income (MAGI Rules)
- 3 FAQs
- 3.1 1. What is the Medicaid income limit for a single adult in Pennsylvania in 2025?
- 3.2 2. What’s the income limit for a family of 4 in Pennsylvania Medicaid in 2025?
- 3.3 3. How much can a pregnant woman make and still qualify for Medicaid in PA 2025?
- 3.4 4. Do assets count for Medicaid eligibility in Pennsylvania?
- 3.5 5. What if my income is slightly above Medicaid limits in Pennsylvania?
- 3.6 6. How can I apply for Pennsylvania Medicaid in 2025?
- 4 Final Thoughts
Pennsylvania Medicaid Income Limits 2025 (Monthly & Annual)
| Household Size | Adults (138% FPL) | Children 1–5 (157% FPIG) | Children 6–18 (133% FPIG) | Pregnant & Infants (215% FPIG) | MAWD (Monthly income limit) |
|---|---|---|---|---|---|
| 1 | $1,800 / $21,597 | $2,048 / $24,576 | $1,735 / $20,820 | $2,804 / $33,650 | $3,261 / $39,125 |
| 2 | $2,433 / $29,187 | $2,768 / $33,212 | $2,345 / $28,140 | $3,790 / $45,570 | $3,261 / $39,125 |
| 3 | $3,065 / $36,777 | $3,487 / $41,844 | $2,954 / $35,445 | $4,775 / $57,490 | $3,261 / $39,125 |
| 4 | $3,698 / $44,367 | $4,207 / $50,484 | $3,564 / $42,768 | $5,761 / $69,410 | $3,261 / $39,125 |
| 5 | $4,330 / $51,957 | $4,926 / $59,112 | $4,173 / $50,076 | $6,746 / $81,330 | $3,261 / $39,125 |
| 6 | $4,963 / $59,547 | $5,646 / $67,752 | $4,783 / $57,396 | $7,732 / $93,250 | $3,261 / $39,125 |
| 7 | $5,595 / $67,137 | $6,366 / $76,392 | $5,393 / $64,716 | $8,717 / $105,170 | $3,261 / $39,125 |
| 8 | $6,228 / $74,727 | $7,085 / $85,020 | $6,002 / $72,024 | $9,702 / $117,090 | $3,261 / $39,125 |
| Each +1 | +$633 / +$7,590 | +$720 / +$8,640 | +$610 / +$7,320 | +$986 / +$11,820 | — |
Notes: Pregnant & Infant limits count unborn children in household size. MAWD resource limit: $10,000.
How Pennsylvania Counts Income (MAGI Rules)
- Included: Wages, self-employment income, unemployment benefits, taxable Social Security, and most taxable income.
- Not included: Child support received, some veteran’s benefits, and certain tax deductions.
- Household definition: Based on IRS tax household. Pregnant women count unborn children in household size.
Documents Needed
- Proof of identity and PA residency
- Social Security Number (if applicable)
- Proof of income (pay stubs, benefit letters)
- Immigration or citizenship documents
- Medical verification of pregnancy (if applying under pregnancy coverage)
How to Apply for Medicaid in Pennsylvania
- Online: COMPASS Portal
- Phone: Statewide customer service
- In person: County Assistance Office (CAO)
- With help: Local navigators and community health centers offer free enrollment help
FAQs
1. What is the Medicaid income limit for a single adult in Pennsylvania in 2025?
A single adult can qualify with income up to $1,800 per month ($21,597 per year).
2. What’s the income limit for a family of 4 in Pennsylvania Medicaid in 2025?
For adults 19–64, a family of 4 qualifies with income up to $3,698 per month ($44,367 annually).
3. How much can a pregnant woman make and still qualify for Medicaid in PA 2025?
Pregnant women are covered up to 215% FPL. For a 2-person household (pregnant + unborn), that’s about $3,789 per month ($45,570 per year).
4. Do assets count for Medicaid eligibility in Pennsylvania?
For adults, kids, and pregnancy coverage under MAGI rules, assets are not counted.
For seniors/disabled (ABD program), asset limits apply: $10,000 single / $15,000 couple.
5. What if my income is slightly above Medicaid limits in Pennsylvania?
You may still qualify for Medical Assistance for Workers with Disabilities (MAWD) or low-cost plans on Pennie (the state marketplace).
6. How can I apply for Pennsylvania Medicaid in 2025?
Apply through the COMPASS website, call the helpline, or visit your local County Assistance Office (CAO).
Final Thoughts
The Pennsylvania Medicaid Income Limits 2025 make it clear who qualifies for coverage—whether you’re an adult, child, pregnant, or senior. If your income is just over the limit, options like MAWD or Pennie marketplace plans may help.
Check your eligibility instantly with our Medicaid Calculator, or see how Pennsylvania compares in Medicaid Income Limits by State 2025. Stay updated in our Medicaid Update section.
