Delaware Medicaid Eligibility Requirements

This page provides general guidelines for the Delaware Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Delaware Health and Social Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Delaware Medicaid office.


Delaware Medicaid Overview

Medicaid is for eligible persons who need help getting care and paying medical bills.


Delaware Medicaid Eligibility Requirements - Non Income

Enrollees must be U.S. citizens or qualified legal residents living in Delaware.


Documents Needed For Delaware Medicaid Application


Delaware Medicaid Benefits

Benefits include doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services, x-rays, home health care, hospice care, dental care (up to age 21).


Delaware Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Delaware Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 212%
Age 1-5: 142%
Age 6-18: 133%
212% (1-18) Medicaid: 212%
CHIP: N/A
133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,062
Age 1-5: $1,381
Age 6-18: $1,293
$2,062 (1-18) Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,779
Age 1-5: $1,861
Age 6-18: $1,743
$2,779 (1-18) Medicaid: $2,779
CHIP: N/A
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,496
Age 1-5: $2,342
Age 6-18: $2,193
$3,496 (1-18) Medicaid: $3,496
CHIP: N/A
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $4,214
Age 1-5: $2,822
Age 6-18: $2,643
$4,214 (1-18) Medicaid: $4,214
CHIP: N/A
$2,643 $2,643