NH Medicaid Eligibility Estimator
Use this tool to get an estimated idea of whether your household might qualify for New Hampshire Medicaid based on income and household size. This calculator primarily focuses on Modified Adjusted Gross Income (MAGI) eligibility for adults, which is typically set at 138% of the Federal Poverty Level (FPL).
Understanding New Hampshire Medicaid Eligibility
New Hampshire Medicaid, often referred to as NH Medicaid or the New Hampshire Health Protection Program (NHHPP) for adults, provides comprehensive health coverage to eligible low-income individuals and families. It's a crucial program designed to ensure access to necessary medical care, including doctor visits, hospital stays, prescription drugs, and more.
Who is Eligible?
Eligibility for NH Medicaid is primarily based on your household's Modified Adjusted Gross Income (MAGI) relative to the Federal Poverty Level (FPL). Different groups have different FPL thresholds:
- Adults (19-64): Generally, adults may qualify if their income is at or below 138% of the FPL.
- Children: Eligibility for children often extends to higher FPL percentages, sometimes up to 196% or more, depending on age.
- Pregnant Women: Pregnant women typically have higher income thresholds, often around 196% of the FPL.
- Parents/Caretaker Relatives: Eligibility for parents or caretaker relatives with dependent children also falls under MAGI rules.
- Elderly, Blind, or Disabled (EBD): For individuals who are elderly (65+), blind, or have a disability, different income and asset rules may apply. This calculator primarily focuses on MAGI-based eligibility and does not account for asset tests.
What is the Federal Poverty Level (FPL)?
The Federal Poverty Level (FPL) is a set of income thresholds used by the federal government to determine eligibility for various federal programs, including Medicaid. The FPL varies based on household size and is updated annually. When we talk about "138% of FPL," it means your household's income must be no more than 1.38 times the official poverty line for your household size.
How to Apply for NH Medicaid
If this calculator suggests you might be eligible, or if you believe you qualify under different criteria (e.g., elderly, blind, disabled), you should apply directly through the New Hampshire Department of Health and Human Services (DHHS). You can apply:
- Online: Through the NH Easy website.
- By Mail: Download an application form from the DHHS website.
- In Person: Visit a local DHHS District Office.
When you apply, you will need to provide documentation of your income, household size, and other relevant information. The official application process will make the final determination of your eligibility.
Important Disclaimer
This calculator provides an estimate only based on the income and household size you provide and general NH Medicaid MAGI rules. It does not account for all possible eligibility pathways, specific deductions, asset tests (which apply to certain groups like the elderly or disabled), or other unique circumstances. The Federal Poverty Level figures used are illustrative and subject to change annually. For a definitive eligibility determination, you must apply through the New Hampshire Department of Health and Human Services.
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function calculateNHMedicaidEligibility() {
var householdSizeInput = document.getElementById("householdSize");
var monthlyGrossIncomeInput = document.getElementById("monthlyGrossIncome");
var resultDiv = document.getElementById("eligibilityResult");
var householdSize = parseInt(householdSizeInput.value);
var monthlyGrossIncome = parseFloat(monthlyGrossIncomeInput.value);
// Clear previous results and error states
resultDiv.innerHTML = "";
resultDiv.classList.remove("error");
// Validate inputs
if (isNaN(householdSize) || householdSize < 1) {
resultDiv.innerHTML = "
Error: Please enter a valid household size (a positive number).";
resultDiv.classList.add("error");
return;
}
if (isNaN(monthlyGrossIncome) || monthlyGrossIncome < 0) {
resultDiv.innerHTML = "
Error: Please enter a valid total monthly gross income (a non-negative number).";
resultDiv.classList.add("error");
return;
}
// Illustrative FPL monthly values for 2024 (these are examples and should be updated annually by official sources)
// Source: Based on HHS Poverty Guidelines, then divided by 12.
// For 2024, FPL for 1 person is $15,060 annually, for 2 is $20,440, etc.
// Each additional person adds $5,380 annually.
var fplMonthlyBase = {
1: 1255, // $15,060 / 12
2: 1703, // $20,440 / 12
3: 2151, // $25,820 / 12
4: 2599, // $31,200 / 12
5: 3047, // $36,580 / 12
6: 3495, // $41,960 / 12
7: 3943, // $47,340 / 12
8: 4391 // $52,720 / 12
};
var fplMonthlyPerAdditionalPerson = 448; // $5380 / 12
var fplForHousehold;
if (householdSize <= 8) {
fplForHousehold = fplMonthlyBase[householdSize];
} else {
// Extrapolate for household sizes larger than 8
fplForHousehold = fplMonthlyBase[8] + (householdSize – 8) * fplMonthlyPerAdditionalPerson;
}
if (!fplForHousehold) {
resultDiv.innerHTML = "
Error: Could not determine FPL for the given household size. Please try again or contact NH DHHS.";
resultDiv.classList.add("error");
return;
}
// NH Medicaid MAGI eligibility threshold for adults is typically 138% of FPL
var eligibilityThresholdFPL = 138;
var incomeLimitForEligibility = fplForHousehold * (eligibilityThresholdFPL / 100);
var incomeAsPercentageOfFPL = (monthlyGrossIncome / fplForHousehold) * 100;
var message = "";
var status = "";
if (monthlyGrossIncome <= incomeLimitForEligibility) {
status = "Potentially Eligible";
message = "Based on your provided information, your household's monthly gross income of
$" + monthlyGrossIncome.toFixed(2) + " is approximately
" + incomeAsPercentageOfFPL.toFixed(1) + "% of the Federal Poverty Level (FPL) for a household of " + householdSize + " people.";
message += "This is below the estimated
" + eligibilityThresholdFPL + "% FPL threshold for NH Medicaid (MAGI-based eligibility for adults).";
message += "
You are potentially eligible for NH Medicaid. We recommend applying through the NH Department of Health and Human Services to confirm your eligibility.";
} else {
status = "Potentially Ineligible";
message = "Based on your provided information, your household's monthly gross income of
$" + monthlyGrossIncome.toFixed(2) + " is approximately
" + incomeAsPercentageOfFPL.toFixed(1) + "% of the Federal Poverty Level (FPL) for a household of " + householdSize + " people.";
message += "This is above the estimated
" + eligibilityThresholdFPL + "% FPL threshold for NH Medicaid (MAGI-based eligibility for adults).";
message += "
You are potentially ineligible for NH Medicaid under the general MAGI rules for adults. However, eligibility rules can vary for children, pregnant women, or individuals who are elderly, blind, or disabled. You may also qualify for subsidies to purchase health insurance through the Health Insurance Marketplace.";
message += "We recommend contacting the NH Department of Health and Human Services or visiting
NH Easy for a definitive determination and to explore all available options.";
}
resultDiv.innerHTML = "
Eligibility Estimate: " + status + "
" + message;
}