Pennsylvania · Medicaid · adults
Pennsylvania Medicaid income limits 2027.
Pennsylvania's adult Medicaid income limit is 138% of the federal poverty guideline: $22,025 a year for one person and $45,540 for a family of four, effective January 13, 2026.
Current limits, 2027 not yet published
The 2027 federal poverty guidelines are published in January 2027, and the state's table follows. Until then the table below is the 2026 table, and any 2027 figure the calculator shows is a labelled projection. This page is arithmetic and a plain-English reading of the statute. It is not legal or medical advice.
Income limit by household size
The current Pennsylvania adult limit
The Pennsylvania Department of Human Services lists "Medicaid Income Requirements: 138% of Federal Poverty Income Guidelines" with these annual income limits, effective January 13, 2026:
| Household size | Annual limit | Monthly (our arithmetic) |
|---|---|---|
| 1 | $22,025 | $1,835.42 |
| 2 | $29,864 | $2,488.67 |
| 3 | $37,702 | $3,141.83 |
| 4 | $45,540 | $3,795.00 |
| 5 | $53,379 | $4,448.25 |
| 6 | $61,217 | $5,101.42 |
| 7 | $69,056 | $5,754.67 |
| 8 | $76,894 | $6,407.83 |
| Each additional person | $7,839 | $653.25 |
The monthly column is the annual figure divided by 12, our arithmetic and not a state-published number.
How the table is built
The 2026 federal poverty guideline for the 48 contiguous states and DC is $15,960 for one person, plus $5,680 for each additional person (HHS/ASPE). Multiply by 1.38 and round up to the next dollar and you get Pennsylvania's published figures: for one person, $15,960 x 1.38 = $22,024.80, shown as $22,025. The calculator above uses the same method, which is why it reproduces the table exactly.
What changes in 2027
Two things. First, HHS publishes new poverty guidelines each January, and a limit set as a percentage of poverty moves with them. The calculator lets you enter an assumed percentage change to project a 2027 limit; at 0% it returns the current 2026 figure. Second, the Pennsylvania DHS Medicaid page warns that "important changes are coming to Medicaid in 2027" and links to a page about H.R. 1 changes. We did not read that linked page, so this page makes no claim about what those changes are; read it before you rely on a limit.
Worked example
A family of four with $48,000 in annual income is above the $45,540 limit shown for a household of four. If the 2027 guideline rises 2%, the projected limit is about $46,451, still below $48,000. A projection is not an eligibility decision.
Limits of this page
- It covers the one Medicaid income table Pennsylvania publishes at 138% of poverty. 138% is the federal expansion-adult level; the state page does not label the table by group, so that reading is ours. We did not confirm limits for children, pregnancy, seniors, disability or Medicaid for Children with Special Needs (PH95); the state runs those through other categories.
- It does not say what income counts toward the limit or how household size is determined.
- Apply through the state to learn whether you qualify.
Frequently asked questions
What is the Pennsylvania Medicaid income limit for a single adult?
$22,025 a year, which is 138% of the 2026 federal poverty guideline for a household of one, effective January 13, 2026 per the Pennsylvania Department of Human Services.
What is the Pennsylvania Medicaid income limit for a family of four?
$45,540 a year at 138% of the federal poverty guideline, per the same state table.
When will the 2027 Pennsylvania Medicaid income limits be published?
HHS publishes the 2027 poverty guidelines in January 2027, and the state's table follows. Until then the 2026 table is the current one.
Does the Pennsylvania limit change in 2027?
Expect it to move with the poverty guideline. The state also says important Medicaid changes are coming in 2027; check the Department of Human Services page for details.
Sources
Read November 2, 2026. Figures and rules on this page come from these pages and no others; what each one could not confirm is stated above.