How to Qualify for Florida Medicaid

Receiving Medicaid benefits in Florida.
Receiving Medicaid benefits in Florida. (Image: florida retirement image by Pix by Marti from

To receive Medicaid benefits in Florida, you must meet certain eligibility requirements. These requirements include need-based factors such as having low income, having children, being pregnant or being elderly. You may also qualify for Medicaid in Florida if you have an emergent medical need. Income requirements for Florida Medicaid vary depending on your family size and the ages of your family members. If you receive SSI, or Supplemental Security Income payments, you may also be eligible for Medicaid in Florida.

Meet the Florida Medicaid requirements for children. Children under 18 may qualify for Medicaid in Florida if they are in low-income households. In a family of four, a child between the ages of five and 18 qualifies for Medicaid if their monthly household income is less than $1,838. If there are children under the age of one in the same family, the family can earn up to $3,675 monthly and still qualify. To qualify for Medicaid in Florida, the household of a child may not own over $2,000 worth of countable assets. Countable assets include secondary vehicles, savings, stock or other tangible valuables.

Qualify for Medicaid under the provision for pregnant women. In a family of two, a pregnant woman will qualify for Medicaid if the family earns less than $2,247 monthly. A single pregnant woman will qualify for Florida Medicaid is she earns less than $1,670 monthly. Also, the household of a pregnant woman may not possess countable assets valued over $2,000 accumulatively.

Meet the requirements to qualify for Medicaid as an aged or disabled person. People who are 65 and older and disabled people are automatically eligible for Medicaid if currently receiving SSI benefits. Elderly people who are not disabled will qualify for Florida Medicaid if earning less than $903 a month individually, or $1,215 as a household of two.

Qualify for Florida Medicaid as a non citizen by meeting the requirement of the emergency medical assistance for non-citizens provision. This single requirement allows for emergent care to be covered by Medicaid under the condition that the healthcare provider must present a form to Medicaid stating that the care was emergent An example of this type of Medicaid coverage is emergent child birth for a non-citizen mother.

Tips & Warnings

  • If you do not qualify for Medicaid in Florida, but are a Florida resident, you will qualify for the Florida Drug Discount program (see Resources). This program is open to all Florida residents and gives levels of discounts based on your income level.
  • If you know someone who is misusing Florida Medicaid funds then please report this to the Florida Abuse Hotline at 1-800-962-2873.

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