Table of Contents
Indiana Medicaid does not have one income limit for everyone. The applicable limit depends on age, pregnancy, disability, household size, and the coverage category. Compare your situation with the table below, then apply for an official decision.
Monthly income limits effective March 1, 2026
These figures are from the Indiana FSSA Medicaid eligibility guide, checked October 3, 2026. They are income before taxes, not take-home pay. FSSA determines the household and countable income; simply counting everyone at your address may give the wrong result.
| Family size | Adults: Healthy Indiana Plan screening limit | Pregnant individuals | Children: Hoosier Healthwise screening limit |
|---|---|---|---|
| 1 | $1,835.50 | See household rule below | $3,391.50 |
| 2 | $2,489.20 | $3,841.20 | $4,599.20 |
| 3 | $3,141.85 | $4,849.85 | $5,805.85 |
| 4 | $3,795.50 | $5,857.50 | $7,012.50 |
| 5 | $4,449.20 | $6,866.20 | $8,220.20 |
For pregnancy, FSSA includes the unborn child or children in family size. The children’s column covers the state’s screening range, including categories that may require a premium; it is not a promise of identical no-cost coverage for every child.
Choose the correct category
- Adults ages 19–64: The Healthy Indiana Plan is generally the relevant route when you are not eligible for Medicare or another Medicaid category. Its income framework is approximately 138% of the federal poverty level.
- Pregnancy or children: Review Hoosier Healthwise rather than comparing the household only with the adult limit. Pregnancy-related presumptive eligibility may provide temporary coverage while a full application is reviewed.
- Aged, blind, disabled, or needing long-term care: Different income and resource rules can apply. Ask FSSA about Traditional Medicaid, Hoosier Care Connect, PathWays, a waiver, or MEDWorks as appropriate. The adult HIP column is not the long-term-care eligibility test.
FSSA’s guide lists a $2,982 monthly individual income standard for certain institutional or waiver cases in 2026. That does not eliminate asset tests, care requirements, or possible patient liability; consult the full category rules before relying on that figure.
How to apply or get help
- Open the Indiana Benefits Portal or start from FSSA’s coverage application page.
- Provide requested household and income information. Have pay records, self-employment records, benefit notices, and identity/residency documents available.
- If income changes month to month, explain the change and provide supporting records. Do not substitute a net paycheck for gross-income evidence.
- Keep the application confirmation and respond to document requests by the stated deadline.
Call the Division of Family Resources at 800-403-0864 for application help. If you need an office, use FSSA’s local-office directory.
If your income appears too high
Ask whether a different eligibility category or household calculation applies. If you receive a denial, read its reason and appeal instructions; do not assume a small overage will automatically be disregarded. FSSA must decide eligibility from the actual application.
For changing numbers or households larger than five, use the official guide linked above rather than extending this table yourself. This article is a screening reference, not an eligibility decision.