Florida Medicaid
Last updated August 2026
Florida Medicaid covers children, pregnant women, seniors, and people with disabilities, and one application at myaccess.myflfamilies.com checks every path. Know the hard truth up front: Florida did not expand Medicaid. Parents qualify only near $600 a month of income for a family of three, and non-disabled adults without children have no path at all.
The kids' doors are far wider. Babies under 1 qualify with family income to $4,805 a month for three. Kids 1 to 5, $3,302; ages 6 to 18, $3,142. Children under 19 keep coverage 12 months straight once enrolled, and kids can qualify on their own even living apart from parents. Denied for income? The application auto-routes to Florida KidCare; nothing to redo.
Pregnancy opens a real door: coverage up to $4,463 a month for a family of three, through the pregnancy plus 12 full months postpartum. Pregnant women and children under 21 can also get bills covered up to 3 months before applying; other adults cannot anymore.
Here is Florida's best-kept secret: the Medically Needy program. Earn too much for regular Medicaid? You get a monthly share of cost, like a deductible. Submit medical bills, paid or unpaid, through MyACCESS, and once they hit your share, Medicaid pays the rest of that month. It resets monthly, enrollment is automatic when you are over-income, and your share amount sits in your MyACCESS account.
On SSI? Medicaid comes automatically, no application. Aged out of Florida foster care? Covered to 26 with no income limit. Decisions come within 45 days, renewals run yearly, and a fair hearing is yours within 90 days of any denial.
Phone 1-850-300-4323
Updated August 2026 Program details can change — confirm with the program directly.
Who qualifies
- Children under 21, pregnant women (covered through pregnancy plus 12 months postpartum), parents and caretakers, and people 65+ or with disabilities, within income limits
- The Medically Needy program can cover people over the income limit after a monthly share of cost is met
You may qualify. The program makes the final decision.
How to apply
- 1
Apply at myaccess.myflfamilies.com, any day. Phone: 850-300-4323; paper and community partner sites work too.
- 2
Pregnant? Say so, and mention medical bills from the last 3 months; pregnant women and kids under 21 can get retroactive coverage.
- 3
Apply for the kids regardless of your own income; their limits are much higher, and denials auto-route to KidCare.
- 4
Over the income limit? Watch for Medically Needy enrollment with your monthly share of cost in MyACCESS.
- 5
Meet a share of cost by submitting bills, paid or unpaid, through MyACCESS or at a Family Resource Center.
- 6
Expect a decision within 45 days. Report changes within 10 days, and renew yearly.
- 7
Denied? Request a fair hearing within 90 days at 850-300-4323.
What the application looks like
Common questions
Can adults get Medicaid in Florida?
Rarely. Florida did not expand Medicaid: parents qualify only near $600 a month for a family of three, and childless non-disabled adults have no category. Pregnancy, SSI, and disability are the real adult paths.
What are the income limits for kids?
For a family of three: $4,805 a month for babies under 1, $3,302 for ages 1 to 5, $3,142 for ages 6 to 18. Over those? The application automatically routes to Florida KidCare.
What is the Medically Needy program?
Florida's fallback for people over the income limit. You get a monthly share of cost, like a deductible; once your medical bills reach it, Medicaid covers the rest of that month. Enrollment is automatic, and bills can be unpaid ones.
I'm pregnant. What does Medicaid cover?
The pregnancy plus 12 full months postpartum, with income up to $4,463 a month for a family of three. Bills from up to 3 months before applying can be covered too.
I get SSI. Do I need to apply?
No. SSI recipients get Florida Medicaid automatically. If SSI ends, coverage continues two months while DCF checks other paths.
How long does a decision take?
Up to 45 days once DCF has your information. Coverage runs 12 months per approval, and denials can be appealed within 90 days.
Not sure this is the right program for your situation?
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