๐ŸฅHealthcare

Medicaid in
Delaware

Delaware expanded Medicaid, so adults qualify for Delaware Medicaid (Diamond State Health Plan) at 138% of the federal poverty level โ€” about $2,969 a month for a household of three, with or without children.

$1,732/mo
Income Limit, 1 Person
15โ€“45
Days to Process
12 mo
Renewal

Who Qualifies for Delaware Medicaid (Diamond State Health Plan) in Delaware?

Delaware expanded Medicaid

Adults aged 19โ€“64 in Delaware qualify for Delaware Medicaid (Diamond State Health Plan) on income alone, at or below 138% of the federal poverty level, whether or not they have children and with no asset test for this group.

Household SizeMonthly LimitAnnual Limit
1 person$1,732$20,783
2 people$2,351$28,207
3 people$2,969$35,632
4 people$3,588$43,056
5 people$4,207$50,480
6 people$4,825$57,905
7 people$5,444$65,329
8 people$6,063$72,754

Limits shown at 138% of the federal poverty level for Delaware โ€” the level a parent or caretaker adult is measured against. Source: state Medicaid eligibility levels as most recently published (2024); states may revise them. Children, pregnant women and people who are 65+, blind or disabled use different and generally higher limits.

Eligibility Requirements

Here's what you need to qualify for Medicaid in Delaware.

๐Ÿ’ต

Income Limit

$2,969/mo for a household of three (138% FPL)

๐Ÿฅ

Adults Without Children

Covered in Delaware up to 138% of the federal poverty level

๐Ÿ›๏ธ

Citizenship

U.S. citizen, permanent resident, or qualified non-citizen

๐Ÿ’ก

Non-expansion states limit adults to ~100% FPL.

Required Documents

Have these ready before you start your Medicaid application.

๐Ÿ“„Proof of identity
๐Ÿ“„Proof of residency
๐Ÿ“„Proof of income
๐Ÿ“„Citizenship documents
๐Ÿ“„Social Security numbers

How to Apply

Follow these steps to apply for Medicaid in Delaware.

1

Gather your documents

Collect all required documents listed above before starting.

2

Submit your application

Apply online through Delaware ASSIST, or by phone at 866-843-7212. Delaware Division of Medicaid and Medical Assistance handles Delaware applications.

3

Wait for processing

Processing takes 15โ€“45 days. Keep copies of everything.

Frequently Asked Questions

What is the income limit for Medicaid in Delaware in 2026?

Delaware expanded Medicaid, so an adult under 65 qualifies for Delaware Medicaid (Diamond State Health Plan) with monthly income at or below 138% of the federal poverty level: about $1,732 a month for one person, $2,969 for a household of three and $3,588 for four โ€” $20,783 and $35,632 a year respectively. Children, pregnant women and people who are 65+, blind or disabled are measured against different and generally higher limits.

Can I get Medicaid in Delaware if I have no children?

Yes. Because Delaware expanded Medicaid, adults aged 19โ€“64 with no children qualify for Delaware Medicaid (Diamond State Health Plan) on income alone, at or below 138% of the federal poverty level. You do not need to be disabled, pregnant or a parent.

How do I apply for Medicaid in Delaware?

Apply for Delaware Medicaid (Diamond State Health Plan) online through Delaware ASSIST at assist.dhss.delaware.gov, run by the Delaware Division of Medicaid and Medical Assistance, or by phone at 866-843-7212. Medicaid has no open-enrolment window โ€” you can apply any day of the year, and coverage can be backdated up to three months if you were eligible then.

How long does Delaware take to approve Medicaid?

15โ€“45 days is the normal range. Federal rules give Delaware 45 days to decide most applications and 90 days when a disability determination is required. Coverage, once granted, is generally backdated to the first day of the month you applied.

What if I earn too much for Medicaid in Delaware?

Children are covered at much higher incomes than adults everywhere โ€” Delaware covers children through Medicaid and CHIP well above the adult limit, so apply for them separately even if you are denied. Pregnancy coverage also uses a higher limit. Above those, a Marketplace plan with a premium tax credit is the next step, and people who are 65+ or on Medicare should check the Medicare Savings Programs instead.

FREE ELIGIBILITY CHECK

Don't Leave Money on the Table

The average household qualifies for $14,200 in benefits. Answer 9 simple questions to see what you're owed.

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