Estimate your potential eligibility for Michigan Medicaid programs.
Children (under 19)
Pregnant Individuals
Parents/Caretakers
Adults (19-64, no disability)
Elderly (65+) or Disabled
Your Eligibility Status: N/A
Understanding Michigan Medicaid Eligibility
Michigan Medicaid provides essential health coverage to low-income individuals and families. Eligibility is determined by a variety of factors, including household income, household size, assets, and the specific category of applicant. This calculator offers a simplified estimate based on common program guidelines but is not a guarantee of eligibility. For precise information, always consult official Michigan Department of Health and Human Services (MDHHS) resources or a certified enrollment assister.
Key Eligibility Factors:
Household Income: This is the total gross monthly income of all individuals living in the household. It's compared against the Federal Poverty Level (FPL) for the given household size. Different categories have different income thresholds.
Household Size: The number of people living in the household and financially contributing to or depending on the income.
Household Assets: For certain categories, there are limits on the value of countable assets. These typically include savings accounts, stocks, bonds, and other resources that can be converted to cash. Essential assets like a primary home and one vehicle are usually excluded.
Medicaid Category: Eligibility rules and income/asset limits vary significantly based on who is applying for coverage. Common categories include children, pregnant individuals, parents/caretakers, adults without disabilities, and individuals who are elderly or have a disability.
How This Calculator Works (Simplified):
This calculator uses general income and asset thresholds that are subject to change and may not reflect every specific waiver or program. The calculation broadly compares your provided information against typical benchmarks for different Medicaid categories in Michigan.
Income Thresholds (Approximate FPL Multiples – Subject to Change):
Children: Often covered up to 200-215% FPL.
Pregnant Individuals: Often covered up to 200-220% FPL.
Parents/Caretakers: Often covered up to 39-56% FPL (expansion population).
Adults (19-64, no disability): Often covered up to 133-138% FPL (expansion population).
Elderly (65+) or Disabled: Income limits can vary significantly, often tied to SSI or other disability programs, but can extend higher with medical deductions. Asset limits typically apply (e.g., $2,000 for individuals, $3,000 for couples, plus $1,000 per additional dependent).
Asset Limits (Approximate – Subject to Change):
For Elderly/Disabled categories, asset limits are typically around $2,000 for an individual and $3,000 for a couple, with potential increases for dependents.
Other categories (like expansion adults, children, pregnant individuals) generally have NO asset limits.
The calculator will attempt to identify the most relevant category based on your selection and provide a preliminary assessment. It is crucial to remember that specific circumstances, medical expenses, and ongoing policy updates can affect actual eligibility.
Disclaimer:
This Michigan Medicaid Eligibility Calculator is an informational tool only. It does not constitute official eligibility determination. All information provided is hypothetical and based on general guidelines. Users should contact the Michigan Department of Health and Human Services (MDHHS) or visit their official website for accurate and up-to-date information regarding Medicaid eligibility and application processes.
function calculateEligibility() {
var householdIncome = parseFloat(document.getElementById("householdIncome").value);
var householdSize = parseInt(document.getElementById("householdSize").value);
var householdAssets = parseFloat(document.getElementById("householdAssets").value);
var medicaidCategory = document.getElementById("medicaidCategory").value;
var eligibilityStatus = "Inconclusive";
var additionalInfo = "";
// Base FPL figures (approximate, can vary annually)
// These are illustrative; official FPL figures should be used for definitive calculations.
var fplBase = {
1: 1458, 2: 1972, 3: 2486, 4: 3000, 5: 3514, 6: 4028, 7: 4542, 8: 5056
};
// Add increments for sizes larger than 8
for (var i = 9; i <= 20; i++) {
fplBase[i] = fplBase[i – 1] + 514;
}
var currentFPL = fplBase[householdSize] || fplBase[8] + (householdSize – 8) * 514; // Fallback for larger families
// Define thresholds as percentage of FPL or fixed amounts
var thresholds = {
children: { incomeMaxPercent: 215, assetMax: Infinity }, // Up to 215% FPL, no asset limit
pregnant: { incomeMaxPercent: 220, assetMax: Infinity }, // Up to 220% FPL, no asset limit
parents: { incomeMaxPercent: 56, assetMax: Infinity }, // Up to 56% FPL, no asset limit (expansion)
adults_no_disability: { incomeMaxPercent: 138, assetMax: Infinity }, // Up to 138% FPL, no asset limit (expansion)
elderly_disabled: { incomeMaxPercent: Infinity, assetMax: 2000 } // Asset limit applies, income usually tied to SSI/disability program rules. Using a placeholder for income check.
};
// Specific limits for elderly/disabled can be complex and may not directly use FPL percentage.
// For simplicity, we'll focus on asset limits for this category and indicate income should be low enough for SSI/disability.
var elderlyDisabledIncomeCheck = {
// SSI level for an individual is roughly 75% FPL, but specific program rules differ.
// Let's use a conservative ~100% FPL as a rough guideline for this example.
incomeMaxPercent: 100,
assetMaxCouple: 3000,
assetMaxAdditionalDependent: 1000
};
var incomeEligible = false;
var assetEligible = false;
// — Validation —
if (isNaN(householdIncome) || householdIncome < 0) {
additionalInfo = "Please enter a valid monthly household income.";
eligibilityStatus = "Invalid Input";
} else if (isNaN(householdSize) || householdSize <= 0) {
additionalInfo = "Please enter a valid household size (at least 1 person).";
eligibilityStatus = "Invalid Input";
} else if (isNaN(householdAssets) || householdAssets 1) {
baseAssetLimit = elderlyDisabledIncomeCheck.assetMaxCouple + (householdSize – 2) * elderlyDisabledIncomeCheck.assetMaxAdditionalDependent;
}
if (householdAssets <= baseAssetLimit) {
assetEligible = true;
} else {
assetEligible = false;
additionalInfo = "Household assets exceed the typical limit for elderly/disabled ($" + baseAssetLimit.toLocaleString() + ").";
}
// Income check is more complex, often linked to SSI. Let's assume basic income check.
var lowIncomeLimit = (elderlyDisabledIncomeCheck.incomeMaxPercent / 100) * currentFPL;
if (householdIncome <= lowIncomeLimit) {
incomeEligible = true;
} else {
incomeEligible = false;
additionalInfo = "Household income may be too high for some SSI-related Medicaid programs. Specific medical deductions may apply.";
}
if (incomeEligible && assetEligible) {
eligibilityStatus = "Likely Eligible";
} else {
eligibilityStatus = "Likely Not Eligible";
}
} else {
// For other categories (children, pregnant, parents, adults)
// Income check
if (householdIncome <= incomeLimit) {
incomeEligible = true;
} else {
incomeEligible = false;
additionalInfo = "Household income exceeds the estimated limit for this category (approx. " + thresholds[medicaidCategory].incomeMaxPercent + "% FPL).";
}
// Asset check (most categories have no asset limit)
if (thresholds[medicaidCategory].assetMax === Infinity) {
assetEligible = true; // No asset limit
} else {
if (householdAssets <= thresholds[medicaidCategory].assetMax) {
assetEligible = true;
} else {
assetEligible = false;
additionalInfo = "Household assets exceed the typical limit for this category ($" + thresholds[medicaidCategory].assetMax.toLocaleString() + ").";
}
}
if (incomeEligible && assetEligible) {
eligibilityStatus = "Likely Eligible";
} else {
eligibilityStatus = "Likely Not Eligible";
}
}
}
// Update result display
document.getElementById("eligibilityStatus").innerText = eligibilityStatus;
document.getElementById("additionalInfo").innerText = additionalInfo;
// Highlight result
var resultDiv = document.getElementById("result");
if (eligibilityStatus === "Likely Eligible") {
resultDiv.style.borderColor = "#28a745";
resultDiv.style.backgroundColor = "#eafaf1";
document.getElementById("eligibilityStatus").style.color = "#28a745";
} else if (eligibilityStatus === "Likely Not Eligible") {
resultDiv.style.borderColor = "#dc3545";
resultDiv.style.backgroundColor = "#fdecea";
document.getElementById("eligibilityStatus").style.color = "#dc3545";
} else { // Inconclusive or Invalid Input
resultDiv.style.borderColor = "#ffc107";
resultDiv.style.backgroundColor = "#fff9e6";
document.getElementById("eligibilityStatus").style.color = "#d98c00";
}
}