Ohio Medicaid Income Limits 2026
If you live in Ohio and earn less than about $1,835 a month as a single person (or $3,795 as a family of four), you are likely within the 2026 income limit for Ohio Medicaid. Children, pregnant women and seniors have separate, usually higher, limits shown below.
| Household size | Monthly income limit | Annual income limit |
|---|---|---|
| 1 person | $1,835 | $22,025 |
| 2 people | $2,489 | $29,863 |
| 3 people | $3,142 | $37,702 |
| 4 people | $3,795 | $45,540 |
| 5 people | $4,448 | $53,378 |
| 6 people | $5,101 | $61,217 |
| 7 people | $5,755 | $69,055 |
| 8 people | $6,408 | $76,894 |
Each additional person adds $653 per month. Figures use the 2026 federal poverty guidelines and are rounded to the nearest dollar.
Income limits by eligibility group
Children (Medicaid/CHIP)
200% of FPL- 1 person
- $2,660/mo
- 2 people
- $3,607/mo
- 4 people
- $5,500/mo
Upper CHIP/Medicaid limit varies by age band; confirm
Pregnant women
200% of FPL- 1 person
- $2,660/mo
- 2 people
- $3,607/mo
- 4 people
- $5,500/mo
Confirm state limit
Seniors, blind & disabled
100% of FPL- 1 person
- $1,330/mo
- 2 people
- $1,803/mo
- 4 people
- $2,750/mo
SSI-related; most states use SSI limit (~74% FPL) or 100% FPL. CA, AZ and a few others have no asset test
QMB (Qualified Medicare Beneficiary)
100% of FPL- 1 person
- $1,330/mo
- 2 people
- $1,803/mo
- 4 people
- $2,750/mo
Pays Part A & B premiums, deductibles, coinsurance
How Ohio counts income
Ohio Medicaid uses Modified Adjusted Gross Income (MAGI) for adults, children, parents and pregnant women. MAGI includes wages, self-employment income, Social Security benefits, unemployment, pensions and most taxable income, before taxes. It does not include SSI, child support received, veterans' disability benefits or most gifts. A 5% income disregard is applied automatically, which is why the expansion limit is often quoted as 133% but effectively 138%.
Seniors and people with disabilities are assessed under older, non-MAGI rules that also look at assets. See Ohio asset limits and long-term care rules.
What if your income is over the limit?
- Marketplace coverage. Households between 100% and 400% of FPL can get premium tax credits on HealthCare.gov.
- Children and pregnant women have separate, higher limits; you may be over the adult limit but still have eligible dependents.
- Medically needy / spend-down. Some states let you subtract medical bills from income to qualify; ask the agency.
- Recheck after a change. Job loss, reduced hours or a new baby can bring you under the limit; you can apply any time of year.
Frequently asked questions
What is the Medicaid income limit in Ohio for a single person in 2026?
What is the Medicaid income limit in Ohio for a family of 4?
Does Ohio Medicaid count gross or net income?
Is there an asset limit for Ohio Medicaid?
When do the 2026 limits take effect?
Sources
- HHS Poverty Guidelines 2026 (ASPE)
- Ohio Department of Medicaid
- Medicaid.gov eligibility levels by state
Limits are calculated from the federal poverty guidelines using the percentage Ohio applies to each group, and rounded to the nearest dollar. Your state agency makes the final determination.