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Intro to Medicaid and CHIP
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Written by Laura
Updated over 3 months ago

What is Medicaid?

Medicaid is one of the ways the government helps Americans get free or low-cost healthcare coverage. Based on the income and household details you shared with us, we'll let you know if you might be eligible for Medicaid.

If you're eligible for Medicaid, you won't be eligible for additional savings.

I'm eligible for Medicaid, but that's not what I want

First, check on how you've reported your income. If both your monthly AND annual income are above certain Medicaid thresholds, you may qualify for savings, instead of Medicaid. For more detail, see below.

Medicaid thresholds by state

  1. In states that haven't expanded Medicaid, like Texas and Florida, in order to qualify for savings (and not Medicaid), you'd need to estimate an annual income above:

    • $15,060 for a 1-person household

    • $20,440 for a 2-person household

    • $25,820 for a 3-person household

    • $31,200 for a 4-person household

  2. In states that have expanded Medicaid, like California, in order to qualify for savings (and not Medicaid), you'd need to estimate an annual income above:

    • $20,783 for a 1-person household

    • $28,208 for a 2-person household

    • $35,632 for a 3-person household

    • $43,056 for a 4-person household

Once you've confirmed your income is correct, if you're still Medicaid-eligible, and you'd still like to enroll in a Marketplace insurance plan, update your application to say no to financial assistance ("Pay full price"). Our Support team is happy to assist you with that.

Please be aware that you will not qualify for savings, so you'll be enrolling in a Marketplace plan at full price.

I'm not eligible for Medicaid or for other savings

If you live in AL, FL, GA, KS, MS, SC, TN, TX, WI, and WY, your state hasn't expanded Medicaid -- this means your state doesn’t offer Medicaid to adults based on income alone.

We recommend checking on how you've reported your income. If both your monthly AND annual income are above certain Medicaid thresholds, you may qualify for savings, instead of Medicaid. For more detail, see below.

Medicaid thresholds by state

  1. In states that haven't expanded Medicaid, like Texas and Florida, in order to qualify for savings (and not Medicaid), you'd need to estimate an annual income above:

    • $15,060 for a 1-person household

    • $20,440 for a 2-person household

    • $25,820 for a 3-person household

    • $31,200 for a 4-person household

  2. In states that have expanded Medicaid, like California, in order to qualify for savings (and not Medicaid), you'd need to estimate an annual income above:

    • $20,783 for a 1-person household

    • $28,208 for a 2-person household

    • $35,632 for a 3-person household

    • $43,056 for a 4-person household

Once you've confirmed your income is correct, if you're still not eligible for Medicaid or for savings, but you'd still like to enroll in a Marketplace plan, update your application to say no to financial assistance ("Pay full price"). Our Support team is happy to assist you with that.

Please be aware that you will not qualify for savings, so you'll be enrolling in a Marketplace plan at full price.

I'm not eligible for Medicaid, but someone in my family is eligible for CHIP

This means someone in your family might be eligible for free or low-cost coverage. You (or other members of your family) can still qualify for savings when you buy a Marketplace plan.

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