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Supreme Court later ruled that the Medicaid expansion is voluntary with states. The law also provides premium tax credits for people with incomes between 100% and 400% of the federal poverty level to buy private insurance plans in the Health Insurance Marketplace®.When the health care law was passed, it required states to provide Medicaid coverage for all adults 18 to 65 with incomes up to 133% (effectively 138%) of the federal poverty level, regardless of their age, family status, or health.If your state hasn’t expanded Medicaid, your income is below the federal poverty level, and you don't qualify for Medicaid under your state's current rules, you won’t qualify for either health insurance savings program: Medicaid coverage or savings on a private health plan bought through the Marketplace. If your income is low and your state hasn’t expanded Medicaid We’ll also tell you if you qualify for savings on a health insurance plan instead. See if you qualify for Medicaid in your state based on income aloneįind out if your state is expanding Medicaid and if you qualify based only on your household income. A few states use a different income limit.) (Because of the way this is calculated, it turns out to be 138% of the federal poverty level. If your household income is below 133% of the federal poverty level, you qualify. In states that have expanded Medicaid coverage: You can qualify based on your income alone.In all states: You can qualify for Medicaid based on income, household size, disability, family status, and other factors.Whether you qualify for Medicaid coverage depends partly on whether your state has expanded its program. Some states have expanded their Medicaid programs to cover all people with household incomes below a certain level.