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Most people must have income within a certain limit to qualify for Minnesota Health Care Programs. Income that is counted toward the income limit can be from wages, self-employment, unemployment insurance, child support, Social Security and other sources. Income is always counted before taxes. It is important to tell us about all income you receive.

How much income can I have and qualify?
How much income you can have depends on your age, the program you qualify for and who lives with you. Select the category below that best describes you or your family for the income limits in effect from July1, 2012 through June 30, 2013:

  • Pregnant women, children and parents
    People who are blind or have a disability
    People 65 or older
    People who need help with Medicare costs
  • People who have disabilities and are employed
    Adults without children

    Family planning coverage

    Breast and cervical cancer coverage

  • Whose income counts?
    Whose income counts depends on the program you qualify for and your relationship to the people who live with you. You need to tell us about your income and the income of your spouse, parents or guardians, stepparents, children and stepchildren. We may not count everyone’s income toward the limit. We will know whose income to count when we have all of your information.

    Can I still get coverage if my income is more than the limit?
    Some people can be over the income limit and still get coverage using a “spenddown.” A spenddown is like an insurance deductible. You pay for part of your medical expenses and Medical Assistance pays the rest. The chart below tells you if you can qualify for a spenddown.

    Minnesota Health Care Programs Income Limits

    Effective July 1, 2012 through June 30, 2013

    Pregnant women, children and parents

     

    Monthly income limit by household size

    Over limit

    Monthly premium

     

    One

    Two

    Three

    More than three

     

    Pregnant women (counted as a two people)

     

    Medical Assistance

    --

    $3,468

    $4,376

    Add $908 per person

    May qualify with a spenddown

    No

    MinnesotaCare

    --

    $3, 468

    $4,376

    Add $908 per person

    Do not qualify

    Yes

    Infants under age 2

     

    Medical Assistance

    $2,607

    $3,531

    $4,455

    Add $924 per person

    May qualify with a spenddown

    No

    MinnesotaCare

    $2,560

    $3,468

    $4,376

    Add $908 per person

    Do not qualify*

    Yes

    Children ages 2-18

     

    Medical Assistance

    $1,397

    $1,892

    $2,387

    Add $495 per person

    May qualify with a spenddown

    No

    MinnesotaCare

    $2,560

    $3,468

    $4,376

    Add $908 per person

    Do not qualify*

    Yes

    Children ages 19-20

     

    Medical Assistance

    $931

    $1,261

    $1,591

    Add $330 per person

    May qualify with a spenddown

    No

    MinnesotaCare

    $2,560

    $3,468

    $4,376

    Add $908 per person

    Do not qualify*

    Yes

    Parents and relative caretakers with children under 19

     

    Medical Assistance

    --

    $1,261

    $1,591

    Add $330 per person

    May qualify with a spenddown

    No

    MinnesotaCare

    See Parents, legal guardians, foster parents and relative caretakers with children under 21

    Parents, legal guardians, foster parents
    and relative caretakers with children under 21

     

    Medical Assistance

    See Parents and relative caretakers with children under 19

     

    MinnesotaCare

    --

    $3,468

    $4,376

    Add $908 per person

    Do not qualify if over limit for your family size or your gross yearly income is over $50,000

    Yes

    * Some children may remain in MinnesotaCare if they meet the criteria for the Minnesota Comprehensive Health Association exemption.

    People who are blind or have a disability, are 65 or older, or need help with Medicare costs

     

     

    Monthly income limit by household size

    Over limit

    Monthly premium

     

    One

    Two

    Three

    More than three

       

    People who are blind or have a disability

     

    Medical Assistance

    $931

    $1,261

    $1,591

    Add $330 per person

    May qualify with a spenddown

    No

    MinnesotaCare **

    adults

    $700 - $1,861

    $948 - $2,521

    --

    --

    Do not qualify

    Yes

    People who are 65 or older

     

    Medical Assistance

    $931

    $1,261

    $1,591

    Add $330 per person

    May qualify with a spenddown

    No

    MinnesotaCare **

    $700 - $1,861

    $948 - $2,521

    --

    --

    Do not qualify

    Yes

    Help with Medicare costs

     

    Qualified Medicare Beneficiary (QMB)

    $951

    $1,281

    $1,611

    Add $330 per person

    Do not qualify

    No

    Service Limited Medicare Beneficiary (SLMB)

    $1,137

    $1,533

    $1,929

    Add $396 per person

    Do not qualify

    Qualifying Individuals (QI)

    $1,277

    $1,723

    $2,169

    Add $446 per person

    Do not qualify

    Qualified Working Disabled

    (QWD)

    $1,882

    $2,542

    $3,202

    Add $660 per person

    Do not qualify

    People with disabilities who are employed

     

    Medical Assistance for Employed Persons with Disabilities (MA-EPD)

    There is no income limit.

    Must have earned income of at least $65 per month
    and meet the MA-EPD definition of employment.

    Yes

    ** People who have Medicare cannot qualify for MinnesotaCare. If you do not have Medicare and qualify for Medical Assistance with a spenddown, MinnesotaCare may be an option to consider depending on what services you need. The cost to you may be less. A county worker can help you decide what is best for you.

    Adults without children

     

    Monthly income limit by household size

    Over limit

    Monthly premium

    One

    Two

     

    Medical Assistance

    $699

    $947

    Do not qualify

    No

    MinnesotaCare***

    $700 - $1,861

    $948 - $2,521

    Do not qualify

    Yes

    Healthy Minnesota Contribution Program

    $1,862 - $2,328

    $2,522 - $3,153

    Do not qualify

    Yes

    ***People whose monthly income is less than $700 for a household of one or $948 for a household of two must enroll in Medical Assistance.

    Other programs

     

    Monthly income limit by household size

    Over limit

    Monthly premium

    One

    Two

    Three

    More than three

     

    Minnesota Family Planning Program

    $1,862

    $2,522

    $3,182

    Add $660 per person

    Do not qualify

    No

    Medial Assistance for
    Breast and Cervical Cancer (MA-BCC)

    See MA-BCC web page for details.

    No


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