Medical Eligibility

Women's Services

Pregnant Women

The Department of Social Services provides Medical Assistance to pregnant women who meet income and resource limits and the general Medical Assistance eligibility requirements. Pregnant women may qualify for full coverage or limited coverage.

Full Coverage for Pregnant Women:

Some pregnant women are eligible to receive full Medical Assistance. Eligibility requirements are as follows:

Family Size Monthly Income Limit
(with shelter expenses)		 Monthly Income Limit
(living with others)
2 $448 $295
3 $507 $354
4 $563 $412
5 $622 $470
6 $680 $528

* Amount increases with each additional member.
* The resource limit is $1,000. Resources include items such as checking and savings accounts and certificates of deposit (CDs). (Certain assets such as the home in which you live and 1 vehicle are not counted.)
* If under age 18 and living with a parent(s), a portion of the parents' income and resources are countable.
* View Covered Services.

Limited Coverage for Pregnant Women:

Some pregnant women are only eligible for pregnancy-related services through Medical Assistance. The eligibility requirements are as follows. (The countable family income must be at or below 133 percent of the Federal Poverty Guideline, 2008.)

Family Size Monthly Income Limit
2 $1,552
3 $1,951
4 $2,350
5 $2749
6 $3,148
7 $3,547

* Amount increases with each additional member.
* The resource limit is $7,500. Resources include items such as checking and savings accounts and certificates of deposit (CDs). (Certain assets such as the home in which you live and 1 vehicle are not counted.)
* If under age 18 and living with a parent(s), a portion of the parents' income and resources are countable.

Covered Services:

  • Restricted to Pregnancy Related Services ONLY.
  • Pregnant women who meet the above eligibility requirements are entitled to limited coverage directly related to their pregnancy, delivery, postpartum care and family planning services.

Eligibility Worksheet:

This worksheet is provided as a guide to estimate your eligibility. You may want to print this worksheet and use it before filling out the application. It can be found on the forms and publications page.

Application:

To apply for Medical Assistance, you must complete an application and return it to your local office. An application can be found on the forms and publications page.