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Health care > Who is eligible
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 July 1, 2012 through June 30, 2013:
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.
Effective July 1, 2012 through June 30, 2013
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Monthly income limit by household size
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Over limit
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Monthly premium
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One |
Two |
Three |
More than three |
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Pregnant women (counted as a two people) |
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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 |
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Medical Assistance |
$2,607 |
$3,531 |
$4,455 |
Add $924 per person |
May qualify with a spenddown |
No |
MinnesotaCare |
No income limit |
N/A |
Yes* |
Children ages 2-18 |
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Medical Assistance |
$1,397 |
$1,892 |
$2,387 |
Add $495 per person |
May qualify with a spenddown |
No |
MinnesotaCare |
No income limit |
N/A |
Yes* |
Children ages 19-20 |
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Medical Assistance |
$931 |
$1,261 |
$1,591 |
Add $330 per person |
May qualify with a spenddown |
No |
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No income limit |
N/A |
Yes* |
Parents and relative caretakers with children under 19 |
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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 |
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Medical Assistance |
See Parents and relative caretakers with children under 19 |
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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 $57,500 |
Yes | *There is no premium for children in households with income below certain limits.
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Monthly income limit by household size
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Over limit
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Monthly premium
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One |
Two |
Three |
More than three |
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People who are blind or have a disability |
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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 |
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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 |
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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 |
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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.
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Monthly income limit by household size
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Over limit
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Monthly premium
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One |
Two |
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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.
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Monthly income limit by household size
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Over limit
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Monthly premium
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One |
Two |
Three |
More than three |
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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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County offices phone numbers and addresses
MinnesotaCare phone numbers and addresses
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