Household Size and Medicaid Eligibility: All You Need to Know

Determining household size is crucial when applying for Medicaid, the government-sponsored health insurance program for low-income individuals and families. In many cases, household size can impact eligibility and the amount of financial assistance you receive. This blog will delve into the complexities of household size as it pertains to Medicaid, providing clear guidance and helpful insights.

Household Size and Dependent Status

The Internal Revenue Service (IRS) defines a household as a group of people who live together and share income and expenses. For Medicaid purposes, household size typically includes individuals who:

– Live in the same residence

– Share meals and other living expenses

– Are related by blood, marriage, or adoption

In the case of the post, the individual is unemployed and living with his girlfriend and her parents. However, he is not financially dependent on them and does not share their income or expenses. Therefore, they should not be included in the individual’s household size when applying for Medicaid.

Determining Household Size for Medicaid

When applying for Medicaid, it is essential to accurately determine your household size. This involves considering all individuals who reside in your home, regardless of their relationship to you. If you live with other adults or children who share your income and expenses, they must be included in your household size.

Excluding Household Members for Medicaid Eligibility

In some cases, it may be possible to exclude certain household members from your Medicaid application. For example, individuals who are not U.S. citizens or permanent residents, who are not eligible to work in the U.S., or who are temporarily absent from the household may not be considered household members for Medicaid purposes.

Seeking Professional Help

Navigating the complexities of Medicaid eligibility can be challenging. If you are unsure how to determine your household size or if you have other questions about Medicaid, it is advisable to seek the assistance of a licensed insurance agent or Medicaid specialist. They can provide personalized guidance and ensure that you receive the coverage you are entitled to.