The second factor taken into consideration is the size of your household. The more people there are in your household; the higher your income can be. For Medicaid, a household is determined by those that are claimed as dependents when filing your taxes. It includes you, your spouse, and any dependents, which may include children, elderly parents, or other elderly or disabled relatives.
Although it may vary based on your personal situation and custody arrangements, dependent children may include biological children, stepchildren, adopted children, foster children, grandchildren, underage siblings, or nieces and nephews, if you have custody of them.
The premiums and potential costs associated with Medicaid coverage will also vary based on the state you live in, your household size, and your income. Many states have shared costs built into their Medicaid plans. Shared costs may include co-pays, monthly premiums, and enrollment fees. However, the groups of people states are allowed to charge is limited.
For example, the federal government does not permit states to charge individuals with an income below 150% of the FPL, physically challenged children who qualified under the Family Opportunity Act (FOA), or physically challenged workers that qualified under the Ticket to Work and Work Incentive Improvement Act of 1999. States are also not allowed to charge premiums or enrollment fees to children who are income eligible or people that are institutionalized, which can include nursing homes, hospice, mental, or long-term behavioral institutions.
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