Medicaid in Texas

Looking for Medicaid eligibility in Texas? Here is how this coverage lane works specifically for Texas residents, what it costs, and how to get it.

Texas has not adopted ACA Medicaid expansion, so adult eligibility is more limited — often restricted to specific categories like pregnancy, disability, or families with very low incomes.

Medicaid in Texas provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.

If you do not qualify for Medicaid in Texas, a subsidized Marketplace plan through HealthCare.gov is usually the next best option.

Texas Medicaid eligibility for adults remains relatively limited because the state has not adopted ACA Medicaid expansion.

Children, pregnant women, people with disabilities, and certain very-low-income parents may still qualify, but many working adults fall into a coverage gap between Medicaid and subsidy-eligible Marketplace income bands.

Residents who do not qualify for Medicaid should start at HealthCare.gov to estimate subsidies; the uninsured rate in Texas remains among the highest of large states, so subsidy screening is especially important.

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Frequently asked questions

Who qualifies for Medicaid in Texas?
Texas limits adult Medicaid to specific categories; check HealthCare.gov or your state Medicaid agency for current rules.
Can I apply for Medicaid any time in Texas?
Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
Did Texas expand Medicaid?
No. Texas has not adopted ACA Medicaid expansion, so adult eligibility is more limited; Marketplace subsidies may still help.

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