Income-Based MA

Common Pitfalls

Thinking you can’t get MA or MinnesotaCare because you have too much money in the bank

It used to be that MA and MinnesotaCare had limits on how much your family could have in assets, including things like your money in the bank, the value of your cars, or other investments. They don’t anymore.

No matter how much your family has in assets, you can get MA or MinnesotaCare if you meet other program requirements and your income is at or below 138% of the Federal Poverty Guidelines (FPG) for MA or at or below 200% of FPG for MinnesotaCare.

Health Coverage Income Limits for Your Family

Thinking you don’t qualify because you didn’t in the past

The eligibility rules for Medical Assistance (MA) and MinnesotaCare are different than they used to be:

  • They no longer have asset limits
  • Income-based MA has a much higher income limit than it did before 2014
  • MinnesotaCare doesn’t require you to have been uninsured for months prior to your application

These are just a few of the big changes. If you applied for one of these programs in the past and were rejected, try again, because these programs are accepting many more people than they used to.

Not getting health coverage because you think it will be too expensive

In the past, some people found it impossible to find health coverage that was affordable and met their needs. Now, there should be an option for almost everybody, even if you have a disability. The exact health coverage that will be right for you will depend on things like your family’s income, whether you have access to employer-sponsored coverage, your age, where you live, if you use tobacco products, and whether you have a disability.

If you do not have the option of employer-sponsored coverage, you may be able to get government help through tax credits paying for an individual plan on MNsure. If you cannot afford private individual coverage, your best options will be public programs, like Medical Assistance, MinnesotaCare, or Medicare, if you qualify.

Note: It is very important to have health coverage, but starting in 2019 there is no tax penalty if you don't have coverage.

Not going back to work because you fear losing your coverage

In the past, people feared that if they got a job while on public health coverage, like Medical Assistance (MA) or MinnesotaCare, they’d lose that coverage, because they would no longer have low enough income to qualify.

Now, if you lose one health coverage option, there should be another one you can get. If you lose your current coverage, you should either become eligible for employer-sponsored coverage, another public coverage program, or private individual coverage. And, if you can’t afford the individual coverage, the government may help you pay for it through tax credits.

The bottom line: There is a coverage option for almost everybody. Do not worry that getting a job will leave you without health coverage.

Not enrolling in MA because you have private coverage

It’s not always obvious, but there are times when you should consider having both private coverage and Medical Assistance (MA). For example, there may be services you need that MA covers but your private plan doesn’t.

If you enroll in MA and you also have cost-effective private coverage, the state will pay the premium for your private policy for you.

Not looking into how to get MA as a person with a disability

If you have a disability, there are additional ways to qualify for MA. You may be able to earn more money without losing your MA coverage or get additional services, like Home and Community-Based Services (HCBS). Learn more about the different ways of qualifying in DB101's MA overview.

Learn more