The Health Insurance Marketplace is a great way to get yourself enrolled in government-subsidized health insurance. The plans offered on healthcare.gov or your state’s own Marketplace are going to be significantly cheaper than fully private health insurance.
The eligibility requirements like income is different for each county, city, and state you’re living in. While someone living in the next county with the same income as you may be eligible for coverage through the Marketplace, you may not.
The Affordable Care Act works simple. Once you’re on the Marketplace website, you’ll estimate your earnings for the next year. If it is more than you estimated, you’ll have to pay back some of the assistance you’ve gotten. However, if you make less though, you’ll get an extra subsidy. When you file your taxes, you’ll find out which one of these cases will apply to you.
Who can apply for government-subsidized health insurance?
The quick eligibility requirements for getting government-subsidized health insurance through the health insurance Marketplace are the following.
- Be a U.S. citizen or national.
- You must not be incarcerated.
- Must live in the U.S.
Residents of the U.S. territories aren’t eligible to apply for health coverage through healthcare.gov. Instead, they must qualify as a resident within the service area of a Marketplace. So their residency must be within the states.
How to get health insurance through healthcare.gov?
Despite the fact that most states are a part of the federal Marketplace, some states have their own. Therefore, the residents must use the state’s Marketplace for getting health coverage. If you live in California, Colorado, Connecticut, DC, Idaho, Maryland, Massachusetts, Minnesota, Nevada, New York, Rhode Island, Vermont, or Washington; you’ll have to use your state’s own Marketplace.
List of Marketplace websites by state
|District of Columbia||dchealthlink.com|
The rest of the states are in the federal Marketplace so you’ll use healthcare.gov. The process is simple and pretty much the same for all of the states. Upon entering your ZIP code, a series of questions will be asked by the system. These questions will narrow down the plans that are offered to you. Consequently, you’ll only be able to browse plans that are available to you.
Depending on the information you provide to the Marketplace, further questions might be asked about your income, household, and current medical situation. Therefore, you must complete it by giving the correct answers. Once it’s complete, you’ll be able to sort the plans by price and coverage.
Health Insurance Marketplace Open Enrollment Dates
The Open Enrollment Period for Marketplace runs from November 1st to December 15th. If you missed it for 2020 coverage, you’ll have to find out if you’re eligible for the Special Enrollment Period (SEP) or Children’s Health Insurance Program (CHIP) or coverage through Medicaid.
Special Enrollment Period
Special Enrollment is only open for those who’ve had certain life events. If lost your health coverage, had a baby, adopted a child, got married, or moved to somewhere else, you qualify for the SEP. However, you must apply within 60 days of these life events to get coverage through Marketplace under SEP.
Children’s Health Insurance Program
Although most states have different eligibility requirements, in most cases, children under the age of 18 with a family income up to about $50,000 may qualify for CHIP. It’s best to check in with your state’s health department to see if your child qualifies.
Although income requirements are much lower for Medicaid, other requirements are much different than CHIP. Medicaid is for everyone regardless of age. The income qualifications for the Medicaid is much less compared to CHIP. And again, each state has its own income limits for qualifications for Medicaid.
Can’t figure out whether you qualify or not? Visit healthcare.gov/screener/marketplace.html
The above link will ask you a series of questions about the recent life events, income, about your CHIP or Medicaid status, and other related questions to determine your eligibility.