Many immigrant families are of “mixed status,” with members having different immigration and citizenship statuses. For example:
Some families may have taxpaying members who can’t buy health insurance through the Marketplace, alongside other family members who are eligible to use the Marketplace as citizens or lawfully present immigrants.
In another “mixed status” family, some members may not be eligible for full Medicaid coverage, while other members are eligible for Medicaid or CHIP.
Note: Effective December 27, 2020, citizens of the Marshall Islands, Micronesia, and Palau who are living in one of the U.S. states or territories (referred to as Compact of Free Association or COFA migrants) are eligible for Medicaid, if they meet all of the eligibility criteria for their state. If you are a COFA Migrant and think you may be eligible for Medicaid, contact and apply through your state Medicaid agency.
“Mixed status” families can apply for premium tax credits or lower out-of-pocket costs for private insurance for their dependent family members who are eligible for coverage in the Marketplace. They can also apply for Medicaid and CHIP coverage for their dependent family members.
Family members who aren't applying for health coverage for themselves won't be asked if they have eligible immigration status.
Federal and state Marketplaces and state Medicaid and CHIP agencies can’t require applicants to provide information about the citizenship or immigration status of any family or household members who aren’t applying for coverage.
States also can’t deny benefits to an applicant because a family or household member who isn't applying hasn’t disclosed his or her citizenship or immigration status.
Information provided by applicants or beneficiaries won’t be used for immigration enforcement purposes. Get more information from the U.S. Department of Homeland Security (PDF).