Who is eligible for Medicaid coverage?

Pregnant women are eligible for Medicaid coverage because Medicaid was specifically designed to provide health care services to vulnerable populations, including low-income individuals and families. Many states have expanded Medicaid eligibility to cover pregnant women regardless of their income level, allowing for comprehensive prenatal and postnatal care. This medical coverage is critical in ensuring the health and wellbeing of both the mother and the developing child.

Individuals earning over 138% of the federal poverty level are generally not eligible for Medicaid unless they belong to specific creditable groups, such as those with disabilities or the elderly. Children without disabilities may qualify for the Children's Health Insurance Program (CHIP) instead of Medicaid, depending on the state. Adults with high-income jobs typically exceed the threshold for Medicaid, making them ineligible for this program designed to assist those with low incomes.