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Expanded Medicaid for Adults

The Medicaid program for Adults provides free healthcare to individuals who meet the eligibility criteria. The program is broken into two different plans to accommodate certain medical needs of its recipients.

  • Basic Plan – This plan provides health, prevention, and wellness benefits for adults who don’t have special health needs. This plan includes annual physicals, immunizations, most prescriptions, doctor and hospital visits, and more.

  • Enhanced Plan –This plan is for individuals with disabilities or special health needs. This plan has all the benefits of the Basic Plan, plus additional benefits. Most of the time, individuals will need to be referred by a doctor to become eligible for the enhanced plan.

For more information, visit medicaidexpansion.idaho.gov

Apply Online

  • Apply: Online using idalink
  • Be prepared to provide this information with the application:
    • ID Card
    • Household Income
    • Housing Costs
    • Current Monthly Expenses
    • If applicable, Immigration Status

Apply over the Phone or In Person

  • Be prepared to provide this information with the application:
    • ID Card
    • Household Income
    • Housing Costs
    • Current Monthly Expenses
    • If applicable, Immigration Status

Apply by Mail, Email or Fax

  • Then Apply by either:
    •  Email: MyBenefits@dhw.idaho.gov
    •  Fax: 1-866-434-8278 (toll free)
    •  Mail: Self Reliance Programs, PO Box 83720, Boise, ID 83720-0026
  • Be prepared to provide this information with the application:
    • ID Card
    • Household Income
    • Housing Costs
    • Current Monthly Expenses
    • If applicable, Immigration Status

Eligibility

To be eligible for Expanded Medicaid, all of the following must be true. 

  • Be a citizen or legal resident.
  • Be a resident of the State of Idaho.
  • Have a household income that is between 0-138% of the Federal Poverty Line
  • Be between the ages of 19 and 64 years old.
  • Not be receiving Medicare.
  • Not be eligible for Medicare.
Maximum Monthly Income Limits
Gross Income for Adult Coverage
Household size 138%
1 $1,437
2 $1,944
3 $2,454
4 $2,961
5 $3,469
6 $3,979
7 $4,486
8 $4,994
Each additional member + $508

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