Indiana Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?


Not all states have expanded Medicaid coverage under the Affordable Care Act. Learn where Indiana stands.



The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Indiana in 2023, that’s $20,120. For a family of four, it’s $41,400.)

However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of December 2023, only 10 states have not expanded their programs. 

Indiana Offers a Limited Version of Medicaid Expansion

Indiana has decided to expand its Medicaid program, but it has done so in a way that differs from most states. Since February 1, 2015, Indiana will use federal Medicaid funds to expand an existing state health insurance program, Healthy Indiana. Indiana residents who need health coverage and are newly eligible for Medicaid -- those who earn up to 138% of the federal poverty level but who are not eligible for Indiana's traditional Medicaid program -- will be able to enroll in the state health plan.

To qualify for the expanded program, low-income Indiana residents with incomes above the federal poverty level will have to pay monthly premiums of 2% of household income -- that's between about $3 and $25 for a single adult without children. Those who don't or can't pay the premiums will be locked out of the Healthy Indiana plan for six months, unless they are considered "medically frail."

In addition, Indiana tried to implement a work requirement for Medicaid but a lawsuit -- and then the COVID-19 pandemic -- caused the state to suspend those plans.

Find Out What Health Plans and Programs You Qualify For

To learn whether you're eligible for Medicaid in Indiana, contact the Indiana Medicaid office.

You can also find out whether you qualify when you apply for health insurance at If you don’t meet Indiana’s Medicaid requirements, will show you the private health insurance plans available to you. You may still be eligible for significant cost-saving subsidies based on your income and family size.

For more information, see Ways to Save Money on Obamacare in Indiana.


Jurisdictional relevance: ST

There are versions of this article for each State.

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