09/01/2026
The 2026 Medicaid Income and Resource Limits
You May Qualify for Help You Didn't Qualify for Last Year
Every January the federal poverty guidelines are updated, and Pennsylvania uses those numbers to decide who qualifies for Medical Assistance (what most people call Medicaid) and a whole family of related health programs. The 2026 guidelines were published on January 15, 2026, and the Pennsylvania Health Law Project has released its annual fact sheet showing the new limits for each program.
A few of the numbers most likely to matter to you or someone you love:
Medicare Savings Programs. If you have Medicare, these programs pay your Part B premium, and at the lowest income level, your Part A premium and cost-sharing as well. Monthly income limits for 2026 range from $1,330 single / $1,804 married up to $1,796 single / $2,435 married, depending on the program.
Home and Community-Based Services waivers. For older adults and people with disabilities who want to stay in their own homes rather than enter a facility: $2,982 in monthly income (only the applicant's income is counted) and $8,000 in countable resources.
Medical Assistance for Workers with Disabilities (MAWD). For adults ages 16–64 with a disability who work: up to $3,325 monthly single or $4,509 married, with a $10,000 resource limit.
Medicare Part D Extra Help. $1,995 single / $2,705 married in monthly income, with resource limits of $18,090 and $36,100.
Two things are easy to miss. First, not all income and resources count toward these limits, disregards apply, and people often assume they're over the line when they aren't.
Second, the resource limit can be dramatically different between two programs with the same income limit, so being turned down for one does not mean you're ineligible for another.
If you or a family member were denied in the past, or you've never applied because you assumed you earned too much, it is worth a second look this year.
You can view the Pennsylvania Health Law Project's full 2026 fact sheet here:https://maureenkroll.com/wp-content/uploads/2026/09/2026-Income-and-Resource-Limits-for-Medicaid-and-Other-Health-Programs.pdf
Contact Maureen Kroll, Attorney at Law, for the help you need. Call me at 724-863-6770, or visit my website today: https://www.maureenkroll.com/
Disclaimer: This post is not intended as tax, accounting, or legal advice. This material has been prepared for informational purposes only.