You may get a notice from us that you or someone in your household isn’t eligible for Medicaid or Children’s Health Insurance Program (CHIP) coverage because at least one person in your household:
In these situations, you may still be able to get health coverage through the Marketplace.
Update your existing Marketplace application or create a new application right away to see if you (or other members of your household) are eligible to buy a Marketplace plan and get help with costs.
Log into your Marketplace account. If you don’t already have a Marketplace account, you can create one.
Update your existing application or create a new one. Get help with your application.
Be sure to include current information about your household income, and also your state’s recent decision about Medicaid and CHIP. (See below for information about answering questions about your eligibility for Medicaid and CHIP.)
Submit your completed application.
Review your results. You'll get eligibility results right away and information about:
Enroll in a Marketplace plan if you’re eligible. Once you enroll, you’ll need to pay your plan’s premium in order for coverage to start.
For each question, you’ll see a box next to each household member’s name. If no one on your application applied for Medicaid or CHIP in the past 5 years, select “None of these people.” If someone was denied Medicaid or CHIP coverage, and if your household’s size or income hasn’t changed since the denial, you should check the box next to that person’s name.
Do check the box for any person who:
Don’t check the box for any person who:
If your household income has decreased since your state denied Medicaid or CHIP coverage to someone on your application, you should select “None of these people.” For example, you should select “None of these people” if anyone in your household:
Note: If your household income has decreased since your state denied Medicaid or CHIP coverage to someone in your household, you may be eligible for new or different coverage and help with costs. For example, you may find out you’re eligible for Medicaid or CHIP programs, even if you weren’t when you first applied with your state agency. Or you may become eligible with financial help with the cost of a Marketplace plan.
If your household size recently increased, you should select “None of these people.” For example, you should select “None of these people” if you or another household member:
Note: If your household size has increased since your state denied Medicaid or CHIP coverage to someone in your household, you may be eligible for new or different coverage and help with costs. For example, you may find out you’re eligible for Medicaid or CHIP programs, even if you weren’t when you first applied with your state agency. Or you may become eligible with financial help with the cost of a Marketplace plan.
Check the box next to any household member’s name who applied for health coverage through their state or the Marketplace during the dates listed. (Select "None of these people" if no one on your application applied for coverage during these dates.) When you’re asked the date that each person was denied Medicaid or CHIP coverage, you should enter the date that’s on the notice you got from your state.
If you already submitted a Marketplace application and indicated that someone in your household has special health care needs, it’s possible that your state may still be checking to see if that person qualifies for more health care services. When you review your Marketplace application, don't change your earlier answers, unless something changed since you last applied.
If you’re creating an application for the first time, be sure to indicate that someone in your household has special health care needs.