Medicaid Income Limits Texas 2025 help you determine if your household qualifies for free or low-cost health coverage in Texas.
For this year, children qualify up to 203% of the Federal Poverty Level (FPL), pregnant women also qualify up to 203% FPL, while children ages 1–5 qualify up to 149% FPL and ages 6–18 up to 138% FPL. Parents and caretaker relatives face much stricter limits—about 14–15% FPL—and adults without children generally do not qualify.
Below you’ll find the full income charts by household size, a simple eligibility breakdown, and step-by-step instructions on how to apply for Texas Medicaid in 2025.
Texas Medicaid Income Limits 2025 by Household Size
Eligibility is tied to household size and income. The tables below show the 2025 Medicaid income limits in Texas, based on the latest FPL guidelines.
Children’s Medicaid
- Age 0–1 (Infants): up to 203% of FPL
- Ages 1–5: up to 149% of FPL
- Ages 6–18: up to 138% of FPL
| Household Size | Infants (0–1) | Children 1–5 | Children 6–18 |
|---|---|---|---|
| 1 | $2,647 | $1,942 | $1,799 |
| 2 | $3,578 | $2,626 | $2,432 |
| 3 | $4,508 | $3,309 | $3,064 |
| 4 | $5,439 | $3,991 | $3,697 |
| 5 | $6,369 | $4,675 | $4,330 |
| 6 | $7,300 | $5,358 | $4,962 |
| 7 | $8,230 | $6,040 | $5,594 |
| 8 | $9,160 | $6,724 | $6,227 |
If your household income is slightly above the Medicaid limit, children may still qualify for the Texas CHIP program, which covers kids up to ~201% FPL.
Pregnant Women (Prenatal Medicaid)
Pregnant individuals qualify up to 203% of FPL, and Texas provides coverage through at least 12 months postpartum.
| Household Size* | Monthly Income Limit |
|---|---|
| 2 | $3,578 |
| 3 | $4,508 |
| 4 | $5,439 |
| 5 | $6,369 |
| 6 | $7,300 |
| 7 | $8,230 |
| 8 | $9,160 |
*Pregnant women count the unborn baby in household size.
Parents & Caretaker Relatives
Texas has one of the nation’s lowest parent/caretaker income thresholds—about 14–15% of FPL. For a family of three, that’s roughly $350–$400 per month.
Adults without children generally do not qualify for Medicaid in Texas unless they are elderly or disabled.
Medicaid Income Chart for Texas (2025)
Here’s a quick look at the income thresholds:
- Infants & Pregnant Women: up to 203% FPL
- Children Ages 1–5: up to 149% FPL
- Children Ages 6–18: up to 138% FPL
- Parents/Caretaker Relatives: up to ~14–15% FPL
- Other Adults (19–64): Not eligible unless disabled or pregnant
How to Apply for Texas Medicaid
Online Application
Apply through the official Texas benefits portal: YourTexasBenefits.com – The primary online application system for all Texas health and human services benefits.
Required Documentation
- Social Security cards for all household members
- Birth certificates
- Proof of income (pay stubs, bank statements, tax returns)
- Proof of citizenship or qualified immigrant status
- Medical records (for disability determinations)
Application Process
- Complete online application at YourTexasBenefits.com
- Submit required documentation
- Attend interview if requested
- Receive eligibility determination (typically within 30-45 days)
Local Offices
Visit your local Health and Human Services office for in-person assistance. Find locations using the office locator on the Texas HHS website.
Special Notes for Texas Medicaid
- No Medicaid Expansion: Adults without dependent children are not eligible based on income alone.
- Postpartum Coverage: Pregnant women receive at least 12 months postpartum coverage.
- CHIP Availability: Kids above Medicaid limits may qualify for CHIP up to 201% of FPL.
- 1115 Waiver Program: Texas runs its Medicaid program through a federal waiver but has not expanded eligibility.
Texas Medicaid Contact Information
- General Medicaid Help: Call 2-1-1 or 877-541-7905
- Member Helpline: 800-335-8957 or 800-252-8263 (Mon–Fri)
- Texas Medicaid & CHIP Website: Texas HHS Medicaid Programs
Frequently Asked Questions
Who qualifies for Medicaid in Texas?
Texas Medicaid primarily covers children, pregnant women, parents with very low incomes, elderly individuals, and people with disabilities. Income limits vary significantly by category.
What is the income limit for Medicaid in Texas for a family of 4 in 2025?
For 2025, a family of 4 can qualify for children’s Medicaid if monthly income is below $5,439 (infants), $3,991 (ages 1–5), or $3,697 (ages 6–18). Pregnant women in a household of 4 qualify up to $5,439 per month. Parents/caretakers have much lower limits, around $350–$400 monthly.
How often do income limits change?
Income limits are updated annually based on federal poverty guidelines, typically published in January or February each year.
Can adults without children qualify for Medicaid in Texas in 2025?
No. Texas has not expanded Medicaid under the ACA. Adults 19–64 without disabilities or children are not eligible for Medicaid, regardless of income.
Does Texas offer postpartum Medicaid coverage in 2025?
Yes. Pregnant women in Texas receive 12 months of postpartum coverage after the end of pregnancy, provided they met the income requirements at the time of application.
What is the Medicaid income limit for a pregnant woman in Texas in 2025?
A pregnant woman qualifies up to 203% of the Federal Poverty Level. For example, a pregnant woman in a household of 2 (counting the unborn baby) can qualify with income up to $3,578 per month.
What’s the difference between Medicaid and CHIP in Texas?
Medicaid covers children and pregnant women at lower income levels.
CHIP covers children in families with incomes too high for Medicaid but up to 201% of FPL.
Final Thoughts
The Texas Medicaid income limits for 2025 remain among the strictest in the country for parents and adults, but provide robust coverage for children and pregnant women up to 203% of the FPL. To see if you qualify, check the income charts above and apply through Your Texas Benefits.