Medicaid Income Limits New york 2025: Getting Medicaid in New York in 2025 depends a lot on your income and sometimes on your savings too. The state checks both before saying yes. The limits are not the same for everyone, it changes with age, family size, and the kind of care you need. Some people apply for Community Medicaid which covers doctor visits, medicines, and care at home. Others go for Institutional Medicaid which helps when someone needs to stay in a nursing home.
Medicare Part B Premiums 2025: Income-Based Rates and Monthly Costs Explained
Medicaid Income Limits New york 2025
For adults under 65 who do not have Medicare, the state uses something called MAGI, which is basically income rules based on the federal poverty level.
In 2025, the highest income allowed is about;
- $1799.75 for a single person
- $2433 for a couple
- $3068 for a family of three
If you stay within these numbers, you can get services like regular checkups, prescriptions, and sometimes home care.
Rules for seniors, disabled, and nursing home care
People who are 65 or older, blind, or disabled follow a different system called non-MAGI. Here, both income and savings are checked.
- For one person, the income cannot be more than $1799.75 a month, and savings cannot go over $32,396.
- For couples, income must stay under $2433 and total savings cannot cross $43,781.
When someone applies for nursing home Medicaid, the rules get even tighter. A single person must keep income below $1800 a month and savings under $32,396. The applicant can only keep $50 a month for personal needs, the rest has to go toward the nursing home cost.
If only one spouse goes to the nursing home, the other is protected from losing everything. The spouse at home can keep up to $3948 a month for living costs, and assets up to $157,920. The minimum savings they are allowed to keep is $74,820. These rules are made so the spouse who stays at home does not fall into poverty.
US government begins drive to remove ineligible Medicaid enrollees: Who could lose coverage?
What if your income is too high?
Many people worry when their income is just a little more than the rules allow. In New York, there are options. One way is the Medicaid Spend-Down Program, where you can use your medical bills to lower your income on paper and still qualify. People with disabilities also use something called a Pooled Income Trust, where extra money goes into the trust and they can still keep their Medicaid benefits.
