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Who Qualifies?

Eligibility basics

Kentucky Medicaid and KCHIP are based on income, age, disability and household size. Here’s an overview.

Income limits

Eligibility depends on your household income compared to the Federal Poverty Level (FPL). The thresholds vary by family size and program.

Children & teens

Kids under 19 may qualify through Kentucky Children’s Health Insurance Program (KCHIP) or Medicaid, depending on income. Coverage includes doctor visits, hospital care, and dental.

Pregnant people

Pregnant Kentuckians may qualify with higher income limits than other adults. Prenatal and postpartum care are included.

Adults

Low-income adults ages 19–64 may qualify if income is under the limit. Coverage includes primary, emergency, and specialty care.

Seniors & disability

People over 65 or with qualifying disabilities may qualify through Medicaid or Medicare Savings Programs.

Quick income check

Rough estimate only — official eligibility is determined by kynect. Based on 2026 federal poverty guidelines.

Income limits by household size

Monthly gross income limits. Based on 2026 federal poverty guidelines. All figures are approximate — verify at kynect.ky.gov before applying.

Program 1 person 2 people 3 people 4 people 5 people 6 people
Adults 19–64 138% FPL $1,800$21,597/yr $2,432$29,187/yr $3,065$36,777/yr $3,697$44,367/yr $4,330$51,957/yr $4,962$59,547/yr
Pregnancy Medicaid 200% FPL $2,608$31,300/yr $3,525$42,300/yr $4,442$53,300/yr $5,358$64,300/yr $6,275$75,300/yr $7,192$86,300/yr
CHIP Perinatal 218% FPL — for those above the 195% limit $2,843$34,117/yr $3,842$46,107/yr $4,841$58,097/yr $5,841$70,087/yr $6,840$82,077/yr $7,839$94,067/yr
KCHIP — children 218% FPL $2,843$34,117/yr $3,842$46,107/yr $4,841$58,097/yr $5,841$70,087/yr $6,840$82,077/yr $7,839$94,067/yr
Children under 19 standard Medicaid Limit unconfirmed — check kynect.ky.gov

Sources: KFF State Health Facts (Jan 2025) · HHS Poverty Guidelines (2025). Retrieved Mar 26, 2026.

Tip: Use Kentucky’s official portal (kynect.ky.gov) to check your eligibility and apply.

Last updated: Mar 2026