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Medicaid eligibility pre-check
Enter your state, household size, and annual income. The tool shows which Medicaid category you likely qualify for, using the 2025 Federal Poverty Guidelines and your state’s current income caps, then links you directly to apply.
Results for Massachusetts
0% of the federal poverty level
For a household of 3 in Massachusetts, 100% of FPL equals $25,820/year. Enter your annual income to see where you fall against each category’s cap.
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Adult (Medicaid expansion)
Likely eligibleIncome cap: $35,632/year (138% FPL for a household of 3).
Expansion adults qualify up to 138% of FPL ($35,632/year for a household of 3).
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Pregnant women
Not applicableIncome cap: $52,931/year (205% FPL for a household of 3).
Category only applies when the applicant is pregnant.
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Children 0–5
Not applicableIncome cap: $52,931/year (205% FPL for a household of 3).
Category applies only to children under 6.
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Children 6–18
Not applicableIncome cap: $40,021/year (155% FPL for a household of 3).
Category applies only to children 6–18.
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Parent / caretaker relative
Likely eligibleIncome cap: $35,632/year (138% FPL for a household of 3).
Parent-only category covers up to 138% of FPL in Massachusetts.
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Aged (65+) / Disabled
Not applicableIncome cap: $19,107/year (74% FPL for a household of 3).
Category applies only to adults 65+ or adults with a qualifying disability.
How to apply in Massachusetts
Program
MassHealth
Phone
1-800-841-2900Processing time
up to 45 days for MAGI-based categories, up to 90 days for disability-based determinations
Community navigator help is available in Massachusetts through Health Care For All. Navigators help with paperwork, appeals, and finding Black-serving providers once enrolled.
Next steps in Massachusetts
This is an informational estimate. Final eligibility is determined by MassHealth based on your full application, including verification of income, assets (for some categories), immigration status, and household composition. The tool uses 2025 HHS Poverty Guidelines and Massachusetts’s published % FPL caps as of the last KFF State Health Facts update.