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Texas Medicaid Eligibility

Not Expanded

Program: Texas Medicaid / CHIP

$914/mo/mo
Individual income limit
$1,850/mo/mo
Family of 4 income limit
100% FPL
FPL threshold

Key Facts for Texas

  • Texas has not expanded Medicaid and has some of the most restrictive eligibility rules
  • Non-disabled adults without children generally do not qualify
  • Texas has the highest uninsured rate in the country
  • Children qualify through CHIP up to 201% FPL
  • Pregnant women qualify up to 198% FPL
  • Apply through YourTexasBenefits.com

What Texas Medicaid / CHIP Covers

Doctor visits
Hospital care
Prescription drugs
Mental health
Dental (limited)
Vision (limited)

Who Qualifies in Texas?

Children
Most children under 19 qualify regardless of immigration status through CHIP or Medicaid.
Pregnant women
Pregnant women typically qualify at higher income limits than standard Medicaid in Texas.
Low-income adults
Texas has not expanded Medicaid. Non-disabled adults without children may not qualify.
Seniors & disabled
Adults 65+ and people with disabilities may qualify through SSI-related Medicaid programs.

Check your eligibility

Find out if you qualify for Texas Medicaid / CHIP in 60 seconds. Free, no obligation.

Check eligibility →

Apply directly in Texas

You can also apply directly through the state portal — though our enrollment specialists can help you navigate the process for free.

Apply at state portal →
⚠ Not an Expansion State

Texas has not expanded Medicaid. Eligibility is more restricted for adults.