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Am I eligible?

Medicaid eligibility rules are changing. Beginning January 1, 2014 new rules will be in place. How we determine the household composition and income counting will be different, and it may or may not impact your eligibility. If you are not currently receiving Medicaid benefits please visit apply.scdhhs.gov to find out about your options.

Click here for more information about changes to Medicaid eligibility rules

Healthy Connections (Medicaid) Program Income Charts

The Healthy Connections (Medicaid) program provides coverage under many different eligibility categories with varying income requirements. More than one income table may be applicable if more than one eligibility category appears to be appropriate.

100% Of Poverty Level
March 1, 2014

Family Size Monthly Effective 03/01/2014 Annual Effective 03/01/2014 Resources Effective 03/01/2014
1 $973 $ 11,670 $7,160
2 1,311 $ 15,730 $10,750

 

 

Income Limit: 

(200% of the Federal Poverty Level)
March 1, 2015

 

 

FAMILY SIZE

MONTHLY INCOME

(Effective 3/1/2015)

ANNUAL INCOME

(Effective 3/1/2015)

1

 $ 1,962.00

$ 23,540.00

2

 $ 2,655.00

$ 31,860.00

3

 $ 3,349.00

$ 40,180.00

4

 $ 4,042.00

$ 48,500.00

5

 $ 4,735.00

$ 56,820.00

6

 $ 5,429.00

$ 65,140.00

7

 $ 6,122.00

$ 73,460.00

8

 $ 6,815.00

$ 81,780.00

Each Additional Member

$ 694.00

$ 8,320.00

 

 

Income Limit: 

(300% of the Federal Benefit Rate-FBR)
January 1, 2015

 

Family Size

Monthly Income Limit

Individual

$2,199

 

 

 

 

Income is not considered for this coverage group.

 

 

Family Size 194% of Federal Poverty Level
Monthly Income Annual Income
1 1,886.65 22,639.80
2 2,543.02 30,516.20
3 3,199.38 38,392.60
4 3,855.75 46,269.00
5 4,512.12 54,145.40
6 5,168.48 62,021.80
7 5,824.85 69,898.20
8 6,481.22 77,774.60
Each Additional Member 656.37 7,876.40

 

 

Income Limit: 

Individuals may be eligible if they meet an income limit less than or equal to 300% of the current SSI Federal Benefit Rate (FBR).

 

March 1, 2015

 

Family Size

Monthly Income Limit

1 (Individual)

$ 2,199

Spousal Allocation

$ 2,980.50

 

 

Family income cannot exceed 200% of the Federal Poverty Level

Additionally, an applicant’s resources and assets cannot exceed the following thresholds:

Primary Residence (the home you live in)

  • $35,000 limit on equity value
  • A family farm of 50 acres or less on which the applicant or his family has lived for at least 25 years is excluded from resources.

Personal Property

  • Equity interest in real property and taxable personal property (such as motor vehicles) cannot exceed a combined total value of $6,000

Liquid Assets

  • Assets in cash cannot exceed $500

An applicant with excess liquid assets may establish eligibility by spending the family's excess liquid assets on valid debts such as rent/mortgage, utilities and medical expenses.

 

 

Income Limit: 

Monthly Net Income Limit may not exceed $1,416 per month. The individual’s resources must not exceed $2,000.

 

 

Family Size

Monthly Income (Limit Effective 3/1/2015)

1

$ 608.12

2

$ 823.05

3

$ 1,037.98

4

$ 1,252.92

5

$ 1,467.85

6

$ 1,682.78

7

$ 1,897.72

8

$ 2,112.65

Each Additional Member

$ 214.93

 

For family sizes over 8, add the amount shown for each additional person to income limit for 8.

 

 

Family Size

Monthly Income (Effective 3/1/2015)

1

 $ 2,040.13

2

 $ 2,761.20

3

 $ 3,482.27

4

 $ 4,203.33

5

 $ 4,924.40

6

 $ 5,645.47

7

 $ 6,366.53

8

 $ 7,087.60

Each Additional Member

$ 721.07

 

For family sizes over 8, add the amount shown for each additional person to income limit for 8.

 

 

Family Size

Monthly Income (Effective 3/1/2015)

Annual Income (Effective 3/1/2015)

1

 $ 1,902.82

 $ 22,833.80

2

 $ 2,575.35

 $ 30,904.20

3

 $ 3,247.88

 $ 38,974.60

4

 $ 3,920.42

 $ 47,045.00

5

 $ 4,592.95

 $ 55,115.40

6

 $ 5,265.48

 $ 63,185.80

7

 $ 5,938.02

 $ 71,256.20

8

 $ 6,610.55

 $ 79,326.60

Each Additional Member

$ 672.53

$ 8,070.40

 

For family sizes over 8, add the amount shown for each additional person to income limit for 8.

 

 

FAMILY SIZE

MONTHLY INCOME

(Effective 3/1/2015)

ANNUAL INCOME

(Effective 3/1/2015)

RESOURCES

(Effective 3/1/2015)

1

2

$ 981

$ 1,328

                  $ 11,770

                  $ 15,930

$ 7,280

$ 10,930

 

 

Family Size SLMB Effective 03/01/2014 QI Effective 03/01/2014
1 (Individual) $1,167 $ 1,313
2 (Couple) 1,573 $ 1,770

 

 

Income Limit: 

250% of Poverty Level
March 1, 2015

 

FAMILY SIZE

MONTHLY INCOME

(Effective 3/1/2015)

ANNUAL INCOME

(Effective 3/1/2015)

1

$ 2,453.00

$ 29,425.00

2

$ 3,319.00

$ 39,825.00

3

$ 4,186.00

$ 50,225.00

4

$ 5,053.00

$ 60,625.00

5

$ 5,919.00

$ 71,025.00

6

$ 6,786.00

$ 81,425.00

7

$ 7,653.00

$ 91,825.00

8

$ 8,519.00

 $ 102,225.00

Each Additional Member

$ 867.00

$ 10,400.00

 

For family sizes over 8, add the amount shown for each additional person to income limit for 8.