Published: November 6, 2025 | Last Updated: November 6, 2025
Nevada Medicaid income limits for 2025 are based on the Federal Poverty Level (FPL), which was updated on January 17, 2025.
The income thresholds vary by household size and specific eligibility category, with most adult Medicaid programs set at 138% of FPL, while children and other specific populations have higher limits.
Quick Facts:
- Most adults qualify at 138% FPL ($21,597 annually for one person)
- Pregnant women can earn up to 190% FPL (effective July 1, 2025)
- Children may qualify for CHIP at 205% FPL
- No asset test for most Medicaid categories
- Year-round enrollment available
Need to check if you qualify? Visit Access Nevada to apply online or call 800-992-0900.
Nevada Medicaid Income Limits by Household Size
Adults Age 19-64 (138% FPL)
Nevada’s expanded Medicaid program covers adults up to 138% of the FPL, as required by the Affordable Care Act (ACA).
| Household Size | Annual Limit | Monthly Limit |
|---|---|---|
| 1 person | $21,597 | $1,800 |
| 2 people | $29,187 | $2,433 |
| 3 people | $36,777 | $3,065 |
| 4 people | $44,367 | $3,698 |
| 5 people | $51,957 | $4,330 |
| 6 people | $59,547 | $4,963 |
Pregnant Women (190% FPL)
Nevada recently increased the income eligibility for pregnant women to 190% of FPL through State Plan Amendment (SPA) #25-0006, effective July 1, 2025.
| Household Size | Annual Limit | Monthly Limit |
|---|---|---|
| 1 person | $29,735 | $2,478 |
| 2 people | $40,185 | $3,349 |
| 3 people | $50,635 | $4,220 |
| 4 people | $61,085 | $5,090 |
Children – Nevada Check Up/CHIP (205% FPL)
Nevada Check Up is the state’s Children’s Health Insurance Program (CHIP). Children whose household income exceeds Medicaid limits but falls below 205% of FPL may qualify for CHIP.
| Household Size | Annual Limit | Monthly Limit |
|---|---|---|
| 1 child | $32,082 | $2,674 |
| 2 people | $43,357 | $3,614 |
| 3 people | $54,632 | $4,553 |
| 4 people | $65,908 | $5,493 |
Nevada Check Up premiums for eligible children are charged quarterly ($25, $50, or $80 per family depending on income). American Indian and Alaska Native families are exempt from premiums.
Who Qualifies for Nevada Medicaid?
Eligibility Groups
Adults age 19-64 with income at or below 138% FPL qualify, including adults with or without dependent children.
Pregnant women with income up to 190% FPL qualify as of July 1, 2025. Coverage extends for 60 days postpartum.
Children ages 6 through 18 are eligible for Medicaid with household income at or below 138% FPL, with the option for Nevada Check Up (CHIP) coverage up to 205% FPL.
Nevada automatically provides Medicaid to SSI recipients who meet categorical requirements.
Special income and asset limits apply for the Aged, Blind, and Disabled (ABD) category, which covers seniors 65 and older, blind individuals, and disabled individuals.
How Income Is Calculated
Nevada uses the Modified Adjusted Gross Income (MAGI) methodology to calculate income for most Medicaid programs.
Counted Income:
- Wages and salaries
- Self-employment income
- Interest and dividends
- Social Security benefits
- Unemployment benefits
Not Counted:
- Child support payments
- Supplemental Security Income (SSI)
- Non-taxable Indian casino income (for federally recognized tribal members)
Asset Limits for Nevada Medicaid
Single applicants must have no more than $2,000 in countable assets. Married applicants (both applying) must have no more than $3,000 in combined countable assets.
Countable Assets:
- Checking and savings accounts
- Stocks and bonds
- Investment properties
Exempt Assets:
- Primary residence (if applicant or spouse lives there)
- One vehicle
- Household furnishings and personal items
In 2025, the maximum home equity allowed while remaining eligible is $730,000.
Important: There is no asset test for most Medicaid categories (family medical, pregnant women, children, adults without children).
How to Apply for Nevada Medicaid
Individuals can apply for Nevada Medicaid through multiple channels.
Online: Access Nevada or Nevada Health Link
By Phone:
- Toll-free: 800-992-0900
- Northern Nevada: 775-684-7200
- Southern Nevada: 702-486-1646
In Person: Visit your local Department of Welfare and Supportive Services (DWSS) office
Required Documents
You will need:
- Birth certificate or residency ID
- Social Security card
- Recent paystubs or tax returns
- Current health insurance info (if applicable)
Key Things to Know
Nevada offers year-round enrollment for Medicaid (not limited to open enrollment periods like marketplace insurance). You can apply anytime you meet eligibility requirements.
Medicaid eligibility extends to legal residents, permanent residents, and certain lawfully present immigrants, but excludes undocumented immigrants.
For families earning too much for Medicaid but needing affordable coverage, households with income up to 400% of FPL may qualify for premium subsidies through Nevada Health Link.
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