Basic Medicaid Eligibility in Florida

EPGD Law Medicaid

What I Need to Do to be Eligible for Medicaid in Florida?

In order to be eligible for Medicaid in Florida, the applicant must meet the basic eligibility requirements, the medical requirements, the asset requirements as well as income requirements.

Apart from being a U.S. citizen, the basic eligibility requirements in Florida include:

  1. Being over the age of 64; or
  2. Being pregnant or having a minor child; or
  3. Being blind or disabled.

The annual income for a single applicant should be $16,971 before taxes. For a household of two, the annual income should not exceed $22,930.

The medical requirements for Medicaid typically involve the necessity for long-term care in a nursing home and the inability to perform certain basic functions of daily life without assistance.

Income and asset requirements vary depending on the type of Medicaid an individual would like to receive. For Institutional / Nursing Home Medicaid and Home and Community Based Services the monthly income cannot exceed $2,349 and the asset limit is $2,000. For Regular Medicaid for the “Aged Blind and Disabled”, the monthly income is capped at $961 and the asset limit is $5,000. For married couples these amounts differ. However, if an applicant has a monthly income of below $891, he or she is allowed to keep $5,000 of countable assets.

What Assets Count Towards the Asset Limit for Medicaid?

The assets that are counted towards the asset limit are called “countable assets”. The assets that are not counted towards that limit are called “exempt assets”.

The primary residence of the applicant is typically exempt from the counting of assets for Medicaid purposes in two cases:

  1. If the applicant has the intent to return to the residence and/or
  2. If the applicant’s spouse still resides in the residence.

One car will be exempt as well as well as certain personal property. The exempt personal property should be considered “reasonable” to be exempt, therefore, it is not advisable to buy new expensive jewelry or other expensive items in order to exempt them.

Up to $2,500 total and combined cash value of life insurance as well as funeral plans that the applicant might have already paid for would be exempt also. Such funeral pre-paid plans could be put into an irrevocable funeral trust with the help of an experienced estate planning attorney.

EPGD Business Law is located in beautiful Coral Gables, West Palm Beach and historic Washington D.C. Call us at (786) 837-6787, or contact us through the website to schedule a consultation.

*Disclaimer: this blog post is not intended to be legal advice. We highly recommend speaking to an attorney if you have any legal concerns. Contacting us through our website does not establish an attorney-client relationship.*

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Eric Gros-Dubois

Eric P. Gros-Dubois founded EPGD Business Law in 2013 and is the current head of the firm’s corporate, estate planning, and tax practice, and manages the firm’s Washington D.C. office. With a JD and MBA, and a specialization in finance, Eric is able to step back and view the legal world through a commercial lens while also acting as a trusted business advisor for his clients. He does his best to be solutions oriented, and tries to think like a business owner, not just a lawyer.


*The following comments are not intended to be treated as legal advice. The answer to your question is limited to the basic facts presented. Additional details may heavily alter our assessment and change the answer provided. For a more thorough review of your question please contact our office for a consultation.

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