Medicaid & CHIP

Get Marketplace coverage if you lose or are denied Medicaid or CHIP coverage

You may be able to get health coverage through the Marketplace with savings if you or others in your household:
  • Had Medicaid or CHIP coverage, but recently lost your coverage.
  • Currently have Medicaid or CHIP coverage, but will lose your coverage soon.
  • Applied for Medicaid or CHIP coverage through your state agency and the state denied your application.
  • Applied for coverage with the Marketplace and were found potentially eligible for Medicaid or CHIP coverage. Your state checked if you could get Medicaid or CHIP, but said you (or your household member(s)) don’t qualify.

Submitting a Marketplace application

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.
  1. Log into your Marketplace account. If you don’t already have a Marketplace account, you can create one.
  2. Start a new application, or update your existing one.
    • To start a new application, choose your state and then select “Start my application.”
    • If you have an existing application, select “Go to my applications & coverage,” and choose the one you want to update under “Your existing applications.”
  3. Be sure your application includes:
    • Your state’s recent decision about Medicaid and CHIP coverage.
    • Information like your current income.
  4. Answer the Medicaid/CHIP and household questions based on your situation. (Get tips to help you answer the Medicaid and CHIP application questions under Answering application questions.
  5. Submit your completed application. You’ll get your eligibility results right away.
  6. Enroll in a Marketplace plan, if eligible. Once you enroll, you’ll need to pay your plan’s premium to start your coverage.
Notice:
If you’re a member of a Federally-recognized tribe or an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder, you may be able to get additional cost savings when you enroll in a qualified Marketplace health plan. Get more health coverage information for American Indians & Alaska Natives.

Getting your application results

You'll get results right away telling you if you or others in your household qualify for health coverage through the Marketplace. Based on how you answer your application questions, we may also check to see if you could still qualify for Medicaid or CHIP coverage. Review your results – they include:
  • Information about savings on your Marketplace plan
  • Other actions you may need to take to confirm your information
  • Enrollment deadlines
Your eligibility results will also tell you if you or anyone in your household qualifies for a 
Special Enrollment Period
, to enroll outside the 
Open Enrollment Period
, or get an earlier coverage start date. If someone in your household recently lost, will soon lose, or were denied Medicaid or CHIP coverage, they may qualify for a Special Enrollment Period.

Have questions?

Answering application questions

Here’s how to answer questions about Medicaid and CHIP on your Marketplace application: