Frequently-asked questions by search term

Medicaid

If my income is less than expected this year, I might be eligible for Medicaid. What can I do to cover my bases?

If my income is less than expected this year, I might be eligible for Medicaid. What can I do to cover my bases?

October 15, 2019 – Q: I'm self-employed, so my income varies from one year to the next. I enrolled through the exchange and projected an income that makes me… Read more

Because each state has its own Medicaid eligibility requirements, you can’t just transfer coverage from one state to another, nor can you use your coverage when you’re temporarily visiting another state.

Can I use my Medicaid coverage in any state?

September 30, 2019 – Because each state has its own Medicaid eligibility requirements, you can’t just transfer coverage from one state to another, nor can you… Read more

Man carry a large boulder and a map of the southern us states showing Medicaid expansion

What is the Medicaid ‘coverage gap’ and who does it affect?

November 13, 2018 – Q. I keep hearing about the "coverage gap" in states that are not expanding Medicaid. Can you explain what that means and who it affects?… Read more

My eligibility for Medicaid depends on how my income compares to the Federal Poverty Level. Can you spell out what that means in dollars?

My eligibility for Medicaid depends on how my income compares to 138 percent of the Federal Poverty Level. Can you spell out what that means in dollars?

June 16, 2018 – Q. I know that whether I qualify for expanded ­Medicaid depends on how my income compares with 138 percent of the Federal Poverty Level… Read more

I’ve heard the federal government pays for the Medicaid expansion, but only for a few years. Then the state is on the hook for costs?

I’ve heard the federal government pays for the Medicaid expansion, but only for a few years. Then the state is on the hook for costs?

January 7, 2018 – Q. I hear people saying Medicaid expansion is a great idea and that the federal government pays for it. But doesn't the federal government… Read more

A row of clocks reminding woman to pay attention to enrollment deadlines

If I qualify for Medicaid, should I worry about the deadline for open enrollment?

December 10, 2017 – Q. I've heard that Medicaid enrollment is year-round. So if I qualify for Medicaid, I don't need to worry about the December 15 end of open… Read more

How do I tell whether I’m eligible for Medicaid or subsidized coverage through my state’s exchange?

How do I tell whether I’m eligible for Medicaid or subsidized coverage through my state’s exchange?

May 10, 2016 – Q: How do I tell whether I'm eligible for expanded Medicaid or a private plan in the exchange? A: When you enroll in the exchange,… Read more

Should I buy the health plan my college offers? or buy through an ACA exchange?

Should I buy the health plan my college offers? or buy through an ACA exchange?

October 18, 2019 – Q. Next year, I start college and I’m trying to decide whether I would be better off enrolling in the plan my college offers, buying my… Read more

Baloon being blown up saying the size of your tax credit depends upon your income in the year you receive a premium subsidy

What happens if my income changes and my premium subsidy is too big? Will I have to repay it?

October 15, 2019 – If recipients end up earning more than anticipated, they could have to pay back some of the subsidy. This can catch people off guard,… Read more

We get health insurance through my job, but the coverage isn’t very good. Can I enroll in an exchange plan instead, and get a subsidy to help pay for it?

October 8, 2019 – Just about anyone can enroll in an exchange plan. But eligibility for a subsidy depends on how much your group plan costs and the quality… Read more

With my income, I’m barely over the eligibility limit for a premium subsidy. Is there anything I can do to lower my income so I become eligible?

With my income, I’m barely over the eligibility limit for a premium subsidy. Is there anything I can do to lower my income so I become eligible?

September 23, 2019 – Q. With my current income, I am not eligible for a premium subsidy – but I'm just barely over the limit. Is there anything I can do to… Read more

What happens if I buy insurance but it doesn’t meet ACA’s minimum essential benefits standards?

What happens if I buy insurance but it doesn’t meet ACA’s minimum essential benefits standards?

September 23, 2019 – With the exception of short-term health insurance and other non-ACA-regulated plans, all individual health insurance policies sold since… Read more