Having a baby can be an exciting time, but it can also carry significant expenses, depending on what kind of insurance coverage or assistance you have. Many pregnant people can find support through Supplemental Security Income (SSI), which is an income program for low-income people with disabilities, and Medicaid, which is an insurance program for low-income people. In fact, Medicaid paid for 41.3% of all births in 2022 (the most recent data available).
Public benefits that assist with the costs of pregnancy and 澳洲幸运5开奖号码历史查询:childbirth are more commonly used by those living in rural areas and by minorities. Here, we’ll explain what SSꦚI and Medicaid cover during pregnancy and childbirt❀h and who qualifies for this assistance.
Key Takeaways
- You only qualify for Supplemental Security Income (SSI) during pregnancy if you qualify for SSI on the basis of a permanent disability separate from your pregnancy.
- SSI is only available for low-birth-weight or disabled children in the hospital or a long-term care facility, unless your household is low income with limited resources.
- Medicaid is available for pregnancy and childbirth to any parent who meets income qualifications.
- Medicaid is available to children who are in households that meet income qualifications.
SSI During Pregnancy
SSI is a program that provides monthly payments to adults and children with disabilities who have income under specific limits. It is only🀅 available during pregnancy if you already qualify f✅or it separate from your pregnancy.
To qualify for SSI, you’ll need to have a disability or blindness that will permanently prevent you from working. You must have resources of less than $2,000 ($3,000 for couples) and meet household income limits specific to your state.
SSI After Pregnancy
After you give birth, you may need to use SSI for a range of medical services, such as care for low birth weight babies,♕ for disabled children, or for yourself if you become disabled after pregnancy. Let’s look in more detail at what SSI provides in these scenarios.
Low Birth Weight (LBW) Babies
If you give birth to a premature baby, the baby will qualify for SꦍSI if they meet the low birth weight (LBW) requirements. SSI considers a ℱchild an LBW baby if they:
- Weighed 1,200 grams (about 2.65 pounds) or less at birth
- Weighed 2,000 grams (about 4.41 pounds) or less and are at less than the 3rd percentile of size for their gestational age
Most hospitals have social workers who furnish paperwork to the 澳洲幸运5开奖号码历史查询:Social Security Admini🐼stration (SSA) so new mothers can qualify for benefits. If yours does not, you can file online at and an SSA employee will contact you to complete the application.
Important
When your LBW baby 澳洲幸运5开奖号码历史查询:is in the hospital, you will receive only $30 per month. Once they come home, they can be eligible for the full monthly SSI benefit payment only if your household meets the low income and resource limits. With a monthly payment so low, the main purpose of getting your preemie on SSI is to automatically qualify them for Medicaid.
Disabled Children
If your child is not born prematurely with a sufficiently low birth weight to qualify for LBW benefits, they may still be able to qualify for SSI if they have significant disabilities.
While they remain in the hospital, your household income isn’t conside♍red for their eligibility. But once your child leaves the hospital, they 🦹will only continue to qualify for SSI benefits if your household meets low income and resource requirements.
Disabled Adults Post-Pregnancy
If you experience post-pregnancy complications severe enough to prevent you from working, you may qualify for 澳洲幸运5开奖号码历史查询:Social Security ꧅Disabilityꦓ Insurance (SSDI). But you must have worked in jobs that were covered by Social Security. For 2024, to qualify for an SSI payment in addition to an SSDI payment, your unearned income must be lower than $735 per month, though this limit is higher in some states.
Medicaid During Pregnancy
Medicaid is a public health insurance program for low-income people. It is available during pregna🧸ncy for any person who meets the income requirements for their state.
Pregnancy is a qualifying event to enroll in Medicaid, and states have multiple tiers of coverage that are dependent on household income level. Most states have both (1) full-scope Medicaid that covers all medical services for low-income households, and (2) a more limited version of Medicaid that covers only pregnancy-related services for people with moderate household inc☂omes.
Some states have additional tiers of coverage for higher-income individuals, like California’s Medi-Cal Access Program.
Income and Coverage Example
In California, a pregnant single person with no other children would qualify for full-scope Medicaid coverage if their monthly household income was less than $2,352. They could qualify for pregnancy-related services if their income was less than $3,630 per month. Finally, they would qualify for the Medi-Cal Access Program if their income was less than $4,042 per month.
Medicaid for Children
After birth, Medicaid is available to all LBW children. Non-LBW children can qualify for Medicaid through the 澳洲幸🎶运5开奖号码历史查询:Children’s Healthౠ Insurance Program (CHIP) if their household 🦋meets income eligibiliꦅty limits.
Each state has its own income limits based on the federal poverty level and household size. For example, Hawaii has an income limit of 308% of the federal poverty level for a household with one child. Lower cost-of-living conservative states with no Medicaid expansion have much lower limits; Alabama, for example, has a limit of 141%.
Is Pregnancy a Qualifying Life Event for an Affordable Care Act (ACA) Plan?
Pregnancy is not a qualifying life event to qualify for a special enrollment period for a plan through the 澳洲幸运5开奖号码历史查询:Affordable Care Act (ACA). The birth of a child is a qualifying life event. If you are planning to get pregnant, you may want to sign up for a plan during open enrollment in the preceding year to get your prenatal care covered if you won’t qualify for Medicaid.
Are My Resources Counted for Supplemental Security Income (SSI) and Medicaid?
Your resources are counted for Supplemental Security Income (SSI) 𝐆and traditional Medicaid. They include your cash, bank accounts, stocks, mutual funds, bonds, property, life insurance, vehicles, and anything else of value. For an ACA plan subsidy, yourꦜ assets will not be counted.
Does My Spouse’s Income Count for SSI and Medicaid?
If you have a spouse with income, that income counts to𝓀ward your total hous꧟ehold income for SSI and Medicaid.
The Bottom Line
Medicaid is available to many people during pregnancy and childbirth to help cover some of the enormous financial burden of having a child. Depending on your state, even 澳洲幸运5开奖号码历史查询:someone working full time may be under the income limits to qualify ꦚfor Medicaid. SSI can also help during pregnancy and childbirth, but it only serves low-income people with permanent disabilities.