2025 Federal Poverty Income Guidelines Announced
The 2025 Federal Poverty Levels (FPLs) were published in the Federal Register last month. The new income limits are slightly higher than last year’s levels. These poverty guidelines are used to set income limits for public health programs such as Medicaid, the Children's Health Insurance Program (CHIP), and Medicare Part D Extra Help.
Every year we release a fact sheet listing the updated income and resource limits for Medicaid and other health programs. The publication is available in English and Spanish. Download each below.
2025 Income and Resource Limits for Medicaid and Other Health Progams (English)
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2025 Limites de Ingresos y Recursos para Asistencia Médica y Otros Programas de Salud (Español)
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Reminder: Medicaid Should Not Count COLAs Until March 2025!
Everyone getting Social Security benefits recently received a Cost of Living Adjustment (COLA) increase in their monthly benefits for this year. Because people start to receive their COLA increases before the Federal Poverty Levels are updated for the year, Medicaid rules prohibit counting someone’s Social Security COLA until the month following the month when the new Federal Poverty Level guidelines are released. Since the 2025 Federal Poverty Level guidelines were issued last month, Medicaid should not start counting the Social Security COLAs until March 2025.
PHLP has already heard of several instances where people’s Medicaid benefits have been reduced because the County Assistance Office (CAO) mistakenly counted the Social Security COLA. If this happens, appeal immediately and ask the CAO to reinstate benefits based on this guidance issued to the CAOs that explains the rule described above. People who need help with any eligibility problem caused by the CAO mistakenly counting their COLA are encouraged to contact PHLP’s Helpline at 1-800-274-3258 or staff@phlp.org.
