by Kristen Ishihara and Chris Parker with Ishihara & Parker Law Firm PLLC

If you've ever wondered whether you can get Medicaid in Texas as a single person, you're not alone. It’s a common question, and honestly, the answer isn’t as straightforward as you’d hope. Texas has some of the strictest Medicaid eligibility rules in the country, so let's break it down and see what your options are.

Who Can Get Medicaid in Texas?

In Texas, Medicaid is mostly geared toward specific groups—think low-income families, pregnant women, children, seniors, and people with disabilities. But what about single adults who don’t fall into those categories? Well, here’s the deal: if you’re a single adult without children and you’re not disabled, Texas Medicaid probably isn’t available to you.

Unlike some states that expanded Medicaid under the Affordable Care Act, Texas didn’t. That means there’s no coverage option for low-income adults unless they meet strict criteria.

So, What Are the Income Limits?

Texas Medicaid uses the Federal Poverty Level (FPL) to determine eligibility. Here’s how it works:

• Pregnant women can qualify with incomes up to 198% of the FPL.
• Parents can qualify, but only if they make less than 14% of the FPL (which is insanely low—like, under $300 a month for a family of three!).
• Children and seniors have their own income brackets.

But if you’re a single, working adult with no dependents, there’s no income threshold for Medicaid because you simply don’t qualify.

Are There Any Exceptions?

Yes! If you have a disability or a serious medical condition, you might qualify for Medicaid through a different program. Also, if you’re over 65 and meet income limits, you could be eligible for Medicaid along with Medicare assistance. But if you're a healthy, working adult? No luck.

What If You Need Healthcare But Don’t Qualify?

If you don’t qualify for Medicaid but still need coverage, here are a few options:

• Marketplace Insurance – Depending on your income, you might qualify for subsidies on a healthcare plan.
• Community Clinics – Many nonprofit clinics offer free or low-cost healthcare services.
• Medical Discount Programs – Some hospitals and providers offer sliding scale payment plans.
• Local Health Programs – Some counties in Texas have limited health assistance for low-income residents.

Final Thoughts

It’s frustrating, but Texas Medicaid is pretty strict when it comes to single adults. If you’re not pregnant, disabled, or caring for a dependent, Medicaid is off the table. Your best bet is to explore other healthcare options like the Marketplace, community clinics, or discount programs.

Got questions about healthcare options in Texas? Drop a comment below! Let’s help each other navigate this system.

‍