Pennsylvania Medicaid (Pennsylvania Medical Assistance): 2026 Income Limits, Eligibility & How to Apply
Pennsylvania expanded Medicaid in 2015, so most adults under 65 qualify for Pennsylvania Medical Assistance on income alone. For 2026 the cutoff is roughly $1,835 per month for one person and $3,795 for a household of four; there is no asset test for this group.
Pennsylvania Medicaid guides for 2026
Income Limits
Pennsylvania Medicaid income limits for 2026 by household size: adults, children, pregnant women, seniors and people with disabilities. Monthly and annual figures.
Eligibility
Medicaid eligibility rules in Pennsylvania for 2026: income, assets, age, residency and citizenship requirements, plus how to check if you qualify.
Asset Limits
Asset and resource limits for Medicaid in Pennsylvania in 2026: what counts, what is exempt, and the limits for seniors, people with disabilities and couples.
How to Apply
Step-by-step guide to applying for Medicaid in Pennsylvania: online, phone and in-person options, documents you need, and how long approval takes.
Renewal
How Medicaid renewal (redetermination) works in Pennsylvania in 2026: deadlines, paperwork, income verification, and what to do if coverage is terminated.
Medicare Savings Programs
Income and asset limits for QMB, SLMB and QI Medicare Savings Programs in Pennsylvania for 2026, and how to apply for help with Medicare premiums.
Seniors & Long-Term Care
Medicaid long-term care eligibility in Pennsylvania for 2026: nursing home income cap, asset limits, spousal protections and the look-back period.
| 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.
Who runs Pennsylvania Medical Assistance
Pennsylvania Medical Assistance is administered by the Pennsylvania Department of Human Services under federal rules set by CMS. Children in families over the Medicaid limit are covered by Pennsylvania CHIP, the state CHIP program. Applications are free and can be submitted any day of the year.