What is Medicaid eligibility?

Medicaid eligibility is a set of criteria that must be met in order for an individual to receive medical benefits from the Virginia Medicaid program. To be eligible for Medicaid in Virginia, an individual must be a legal US resident, be a Virginia resident, meet certain income and resource limits, and meet other criteria based upon their age, disability, family size, and other factors. Income limits are different depending on the type of Medicaid coverage needed. For instance, to be eligible for Medicaid-funded long-term care, individuals must have a monthly income of less than $2,382, or $2,927 if they are over 65 years old or blind. For basic Medicaid coverage, income limits range from under $15,600 for a single person to just under $32,000 for a family of four. Resource limits also apply, though it’s important to note that certain assets will not be counted, such as a primary residence, burial funds, and some household items. Generally, for an individual to be eligible for Medicaid coverage, the total value of their assets cannot exceed $2,000, though these limits may vary depending on the type of Medicaid coverage needed. It’s also important to note that in Virginia, some individuals may qualify for Medicaid’s Expanded Eligibility program, which provides medical coverage to individuals who have income that exceeds the eligibility limit. If you have questions about Medicaid eligibility in Virginia, you can contact your local health department for more information.

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What is Medicaid eligibility?

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