In addition to those with low incomes who are aged, blind, or disabled (receiving SSI benefits), the following populations are eligible for Medicaid in Texas:[efn_note]”Medicaid, Children’s Health Insurance Program, & Basic Health Program Eligibility Levels” Medicaid.gov. Accessed Feb. 4, 2025[/efn_note]

• Children aged 0-1: 198% of the federal poverty level (FPL)
• Children aged 1-5: 144% of FPL
• Children age 6-18: 133% of FPL
• Pregnant women: 198% of FPL
• Adults caregivers of children or adult relatives: 12% of FPL
• Children are eligible for either Medicaid or CHIP if their household incomes are up to 201% of poverty

Texas has not expanded Medicaid under the ACA, so adults under 65 who aren’t disabled or raising a child are ineligible for Medicaid regardless of how low their income is.

If you believe you may be eligible to enroll in Medicaid in Texas:

• You can start the process through HealthCare.gov, either online or by phone at 1-800-318-2596. (Use this option if you’re under 65 and don’t have Medicare; you will be directed to the Texas Medicaid agency if HealthCare.gov believes you’re eligible for that coverage.)
• You can enroll through the Medicaid website maintained by the Texas Health and Human Services Commission.
• You can also download and print a paper application, or request that one be mailed to you, by using this page on the Texas Medicaid website.

Many Medicare beneficiaries receive Medicaid’s help with paying for Medicare premiums, affording prescription drug costs, and covering expenses not reimbursed by Medicare – such as long-term care. Our guide to financial assistance for Medicare enrollees in Texas includes overviews of these benefits, including Medicare Savings Programs, long-term care coverage, and eligibility guidelines for assistance.