Idaho Medicaid

Idaho Medicaid is a health care coverage for low-income Idahoans who might otherwise go without medical care for themselves and their children.

It covers a broad range of people, including children under age 19, pregnant women, elderly people and single parents whose financial situation would be characterized as low income or very low income.

Medicaid in Idaho, also called Idaho Health Plan Coverage, offers three different benefit plans based on your healthcare needs.

FAQ

Basic Plan

Basic plan provides health, prevention, and wellness benefits for adults in generally good health, without disabilities or special health needs.

It covers annual physicals, immunizations, most prescriptions, doctor and hospital visits, and more. Most participants will be in this benefit plan.

Enhanced Plan

Enhance plan is for people with more complex needs and medical conditions, disabilities or special health needs, and people over the age of 65. It comes with all the benefits of the Basic Plan, plus additional benefits.

Coordinated Plan

Coordinated plan is specifically designed for individuals who are eligible and enrolled in both Medicare and Medicaid, also known as dual eligibles.

It offers all the advantages of the Enhanced Plan while also providing the option to enroll in a managed care plan. This helps in coordinating the benefits of both Medicare and Medicaid.

What is the income threshold for Medicaid in Idaho?

As Idaho is expanding Medicaid, eligibility now includes children ages 6—18, pregnant women, and adults up to age 64 with family income up to 138% of the federal poverty level.

idaho Medicaid income limits by household size
idaho MedicaidHousehold Size	147% Child 0—5	138% Pregnant Women	138% Adults 19—64
1	$1,955	$1,835	$1,835
2	$2,651	$2,489	$2,489
3	$3,347	$3,142	$3,142
4	$4,043	$3,795	$3,795
5	$4,738	$4,448	$4,448
6	$5,434	$5,101	$5,101
7	$6,130	$5,755	$5,755
8	$6,826	$6,408	$6,408

A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

Children from birth to age 5 qualify with income up to 147% of the federal poverty level or about $3,142 per month for a family of three.

Can I apply for Idaho Medicaid online?

Applications for Medicaid in Idaho can be made online through IdaLink or over the phone by calling the Department of Health and Welfare.

Idaho Department of Health and Welfare
Medicaid Customer Service
(877) 456-1233