2025 Hawki Income Guidelines
Medical
| Family Size | Family's Yearly Countable Income: Medicaid | Family's Yearly Countable Income: Hawki | Family's Yearly Countable Income: Hawki | Family's Yearly Countable Income: Hawki |
|---|---|---|---|---|
| Children may be eligible for FREE coverage under Medicaid. * | Children may be eligible for FREE coverage under Hawki.** | Children may be eligible for coverage under Hawki for $10 per child per month.*** | Children may be eligible for coverage under Hawki for $20 per child per month.**** | |
| 1 | Up to $26,136 | $26,137 to $28,327 | $28,328 to $38,030 | $38,031 to $47,263 |
| 2 | Up to $35,321 | $35,322 to $38,282 | $38,283 to $51,395 | $51,396 to $63,873 |
| 3 | Up to $44,506 | $44,507 to $48,237 | $48,238 to $64,760 | $64,761 to $80,483 |
| 4 | Up to $53,691 | $53,7692 to $58,192 | $58,193 to $78,125 | $78,126 to $97,093 |
| 5 | Up to $62,876 | $62,877 to $68,147 | $68,148 to $91,490 | $91,491 to $113,703 |
| 6 | Up to $72,061 | $72,062 to $78,102 | $78,103 to $104,855 | $104,856 to $130,313 |
| 7 | Up to $81,246 | $81,247 to $88,057 | $88,058 to $118,220 | $118,221 to $146,923 |
| 8 | Up to $90,431 | $90,432 to $98,012 | $98,013 to $131,585 | $131,586 to $163,533 |
* If your family’s yearly countable income is in this column, your children may be eligible for FREE coverage under Medicaid.
** If your family’s yearly countable income is in this column your children may be eligible for FREE coverage under Hawki.
*** If your family’s yearly countable income is in this column, your children may be eligible for coverage under Hawki for $10 per child per month. No family pays more than $20 per month.
**** If your family’s yearly countable income is in this column, your children may be eligible for coverage under Hawki for $20 per child per month. No family pays more than $40 per month.
Hawki Dental Only
| Family Size | Family's Yearly Countable Income: Medicaid | Family's Yearly Countable Income: Hawki | Family's Yearly Countable Income: Hawki | Family's Yearly Countable Income: Hawki |
|---|---|---|---|---|
| Children may be eligible for FREE coverage under Medicaid.* | Children may eligible for dental coverage under Hawki for $5 per child per month.** | Children may eligible for coverage under Hawki for $10 per child per month. *** | Children may eligible for coverage under Hawki for $15 per child per month. **** | |
| 1 | Up to $26,136 | $26,137 to $31,926 | $31,927 to $39,751 | $39,752 to $47,263 |
| 2 | Up to $35,321 | $35,322 to $43,146 | $43,147 to $53,721 | $53,722 to $63,873 |
| 3 | Up to $44,506 | $44,507 to $54,366 | $54,367 to $67,691 | $67,692 to $80,483 |
| 4 | Up to $53,691 | $53,692 to $65,586 | $65,587 to $81,661 | $81,662 to $97,093 |
| 5 | Up to $62,876 | $62,877 to $76,806 | $76,807 to $95,631 | $95,632 to $113,703 |
| 6 | Up to $72,061 | $72,062 to $88,026 | $88,027 to $109,601 | $109,601 to $130,313 |
| 7 | Up to $81,246 | $81,247 to $99,246 | $99,247 to $123,571 | $123,571 to $146,923 |
| 8 | Up to $90,431 | $90,432 to $110,466 | $110,467 to $137,541 | $137,541 to $163,533 |
* If your family’s yearly countable income is in this column, your children may be eligible for FREE coverage under Medicaid.
** If your family’s yearly countable income is in this column, your children may eligible for dental coverage under Hawki for $5 per child per month. No family pays more than $10 per month.
*** If your family’s yearly countable income is in this column, your children may eligible for coverage under Hawki for $10 per child per month. No family pays more than $15 per month.
**** If your family’s yearly countable income is in this column, your children may eligible for coverage under Hawki for $15 per child per month. No family pays more than $20 per month.
NOTE: You will need the Account Number (on membership card); the Case Number on bill sent in mail; and the Invoice Number from the bill sent in mail to pay premium dues.