In Texas, Medicaid offers healthcare coverage for individuals and families with low incomes who qualify. However, your income and specific circumstances are the main factors that determine your eligibility.
Because the income restrictions for Medicaid can change every year, it is vital to know what the limits are for 2025 so that you can find out if you qualify for the program.
The income qualifying limit for Medicaid is more specific for seniors and those with disabilities who are applying for long-term care services, such as nursing home care.
In 2025, people who are applying for long-term care must have a monthly income that is less than or equal to $2,901.
This applies to both single applicants and married individuals in which only one spouse requires nursing home care. On the other hand, if both couples are asking for care, the combined income maximum is $5,802 per month.
It is important to remember that the income limits for long-term care Medicaid are typically more stringent than those for other types of Medicaid.
Medicaid for minors
In Texas, children may potentially be eligible for Medicaid coverage depending on the income of their household.
The age of the child determines the income limits that apply. In 2025, the qualifying limit for children under 1 year old is 203 percent of the federal poverty level (FPL), which amounts to a monthly income of $2,547 for a single child.
For children aged 1 to 5 years, the limit is 149 percent of the FPL, equating to a monthly income of $1,869 for a single child.
Children between the ages of 6 and 18 have an income restriction of 138 percent of the federal poverty level (FPL), which is approximately $1,731 per month for a single child.
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Medicaid for women who are pregnant
In Texas, pregnant women may also be eligible for Medicaid benefits to guarantee that they receive sufficient medical care during their pregnancy.
The income ceiling for pregnant women in 2025 is 198 percent of the federal poverty level. This amounts to a monthly income of $2,127 for a single woman.
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Medicaid for parents and relatives who are caretakers
In Texas, parents and caretaker relatives who are responsible for a dependent child may be eligible for Medicaid provided their income falls within the limits.
In 2025, the income ceiling for this group is set at 14 percent of the federal poverty level, which is approximately $1,073 per month for a single applicant.
