Medicaid & coverage help
Get a free estimate in under a minute. If you qualify, we’ll point you the right way. If you don’t — or you recently lost Medicaid — a licensed agent will help you find coverage you can actually get.
The Coverage Company is a licensed insurance agency — not a government agency, and not affiliated with Medicaid, Medicare, or HealthCare.gov.
Medicaid eligibility estimator
See what you may qualify for.
Answer three quick questions for a free estimate. If you don’t qualify for Medicaid, we’ll help you find what you do — in one call.
This is a general estimate based only on what you enter — not a determination of eligibility, an application, or an offer of coverage. Only your state Medicaid agency can determine Medicaid eligibility. CoverageCo is a licensed insurance agency, not a government agency.
Medicaid is run by each state, so the rules — and the income limits — depend on where you live. Two things decide most of it.
Eligibility is measured against the federal poverty level (FPL) for your household size. In states that expanded Medicaid, most adults qualify up to 138% of the FPL. Children and pregnant women often qualify at higher limits.
41 states plus D.C. adopted Medicaid expansion, which covers most low-income adults. In the 10 states that haven't, adults — especially those without children — can fall into a "coverage gap" and may need other options.
Being over the Medicaid limit doesn't mean you're out of options. Many people qualify for private Marketplace coverage with financial help that lowers the monthly cost. That's the conversation a licensed agent can walk you through.
You’re not stuck. Losing Medicaid can open a special window to get Marketplace coverage — often with financial help — and a licensed agent can find your best fit and handle the paperwork with you. It costs nothing to talk it through.
Income limits, program details, and how to apply — for your state.
More states are added regularly.
Plain-English guides to qualifying, denials, renewals, and what to do next.
No. It gives a general estimate based on the information you enter and published federal poverty guidelines. Only your state Medicaid agency can make an official eligibility determination. A licensed agent can help you understand your estimate and, if you don't qualify, find coverage you can get.
Losing Medicaid (including for missed paperwork during renewal) can open a Special Enrollment Period to get Marketplace coverage, often with financial help that lowers your monthly cost. Timing matters, so it's worth talking to a licensed agent quickly to review your options.
Usually yes. Many people just over the Medicaid limit qualify for private Marketplace (ACA) coverage with premium tax credits. A licensed agent can check what you'd pay after any savings you qualify for.
No. The Coverage Company is a private, licensed insurance agency. We are not Medicaid, Medicare, HealthCare.gov, or any government agency, and we are not affiliated with or endorsed by any government program.
Sources: U.S. federal poverty guidelines; Medicaid.gov; HealthCare.gov; state Medicaid agencies; KFF (Kaiser Family Foundation). Income figures are estimates for general reference — confirm current limits with your state Medicaid agency.
Important disclosures
The Coverage Company (“CoverageCo”) is a private, licensed insurance agency. This website is not Medicaid, Medicare, HealthCare.gov, or any federal or state government program, and is not affiliated with, endorsed by, or connected to any government agency.
The eligibility estimator and any figures shown are for general education only. They are based on the limited information you provide and published federal poverty guidelines, are not guaranteed to be current, and are not a determination of eligibility, an application, or an offer of coverage. Only your state Medicaid agency can determine Medicaid eligibility. If you contact us, a state-licensed insurance agent may help you review private coverage options; enrollment in any plan is subject to eligibility and the plan’s terms.