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Pregnant Individual

Four pregnant women

District of Columbia Medicaid provides medical coverage to pregnant individuals with income up to 319% of the federal poverty level (FPL). Pregnant individuals receive full Medicaid coverage, including care related to the pregnancy, labor, and delivery and any complications that may occur during pregnancy, as well as perinatal care for 60 days post-partum.

A pregnant individual may apply for Medicaid coverage before or after they deliver.

Who is Eligible?

You may be eligible for Medicaid in the District under the Pregnant Woman category, if you:

  • Are Pregnant or have been pregnant in the last 60 days
  • Are A District Resident;
  • Are A US citizen or have eligible immigration status; and
  • Meet  income requirements

The District covers this population with household income up to 319 % of the Federal Poverty Level

Category Pregnant Individual
Threshold in FPL 319% + 5% Income Disregard
2 person household, monthly $4,943.70 
3 person household, monthly $6,218.10
4 person household, monthly $7,492.50 
5 person household, monthly $8,766.90
6 person household, monthly $10,041.30 
7 person household, monthly $11,315.70 
8 person household, monthly $12,590.10

Figures compiled using 2022 FPL numbers distributed by the U.S. Department of Health and Human Services

 

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