Medicaid
Pennsylvania Medicaid eligibility
Pennsylvania expanded Medicaid. Adults 19 to 64 qualify with income up to 133% of the federal poverty level, about $1,768 a month for one person in 2026.
Source: Medicaid.gov: Medicaid, CHIP, and Basic Health Program Eligibility Levels (state decisions as of 2023-12-01, read 2026-10-23), as of December 1, 2023.
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Quick facts
- ACA expansion
- Yes
- Adults 19 to 64
- 133% FPL
- Parents
- 33% FPL
- Pregnant women
- 215% FPL
- Children 6 to 18
- 133% FPL
- State agency
- Pennsylvania Medicaid agency
Pennsylvania income limits by group
| Group | Income limit | Monthly, household of 1 (2026) |
|---|---|---|
| Adults 19 to 64 (expansion group) | 133% FPL | $1,768 |
| Parents and caretaker relatives | 33% FPL | $438 |
| Pregnant women (Medicaid) | 215% FPL | $2,859 |
| Pregnant women (CHIP) | No separate program | |
| Children under 1 (Medicaid) | 215% FPL | $2,859 |
| Children 1 to 5 (Medicaid) | 157% FPL | $2,088 |
| Children 6 to 18 (Medicaid) | 133% FPL | $1,768 |
| Children (separate CHIP) | 314% FPL | $4,176 |
Medicaid.gov notes that MAGI rules generally adjust income by an amount equal to a 5% FPL disregard, so a person can qualify with income about 5 percentage points of FPL above the standard shown. Other rules apply too, such as citizenship, immigration status, and state residency. The state agency makes the decision.
Related pages
Questions
Who qualifies for Medicaid in Pennsylvania?
Pennsylvania expanded Medicaid. Adults 19 to 64 qualify with income up to 133% of the federal poverty level, about $1,768 a month for one person in 2026.
Did Pennsylvania expand Medicaid?
Yes. Medicaid.gov lists Pennsylvania's adult expansion group at 133% FPL.
How do I apply for Medicaid in Pennsylvania?
Apply any time through the state Medicaid agency or with a HealthCare.gov Marketplace application, which sends your information to the state if you may qualify.