Find out if your Medicaid program counts as minimum essential coverage

Most Medicaid programs are considered "minimum essential coverage" (also known as qualifying health coverage). This means they meet the requirement for having health coverage under the health care law.

  • If your Medicaid program counts as minimum essential coverage: You are not eligible for a premium tax credit or other savings to enroll in a Marketplace insurance plan. You should immediately end Marketplace insurance for anyone in your household who is enrolled in these Medicaid programs and is also using premium tax credits with a Marketplace plan.
  • If your Medicaid program DOESN’T count as minimum essential coverage: You are eligible for premium tax credits and other savings on a Marketplace insurance plan, if you qualify based on your income and other criteria.

Select your state and we’ll tell you if your Medicaid coverage counts as minimum essential coverage, and what action to take.

STATE DROPDOWN TOKEN

Alabama

Medicaid that COUNTS as “minimum essential coverage” in Alabama

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Alabama

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Alabama Plan First Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Alaska

Medicaid that COUNTS as “minimum essential coverage” in Alaska

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Alaska

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace

American Samoa

States and territories have different rules about who qualifies for Medicaid. You can find out if you can get Medicaid in American Samoa right now. There is no public website available for Medicaid in American Samoa. You can contact the Medicaid program at (684) 633-4818.

Arizona

Medicaid that COUNTS as “minimum essential coverage” in Arizona

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Arizona Health Care Cost Containment

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Arizona

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Arkansas

Medicaid that COUNTS as “minimum essential coverage” in Arkansas

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Arkansas Healthcare Independence
  • AR-TEFRA-like program
  • ARKids

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Arkansas

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

California

Medicaid that COUNTS as “minimum essential coverage” in California

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Bridge to Reform

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in California

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

  • Limited coverage that pays only for:

    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Colorado

Medicaid that COUNTS as "minimum essential coverage" in Colorado

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as "minimum essential coverage" in Colorado

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Colorado Adult Prenatal Coverage
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Connecticut

Medicaid that COUNTS as “minimum essential coverage” in Connecticut

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Connecticut

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Delaware

Medicaid that COUNTS as “minimum essential coverage” in Delaware

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Delaware Diamond State Health Plan

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Delaware

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

District of Columbia

Medicaid that COUNTS as “minimum essential coverage” in District of Columbia

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • District of Columbia Childless Adults

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in District of Columbia

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Florida

Medicaid that COUNTS as “minimum essential coverage” in Florida

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • MEDS AD
  • Medicaid Managed Care

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Florida

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.
  • Florida Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Georgia

Medicaid that COUNTS as “minimum essential coverage” in Georgia

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Georgia

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Georgia Planning For Healthy Babies Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Guam

States and territories have different rules about who qualifies for Medicaid. You can find out if you can get Medicaid in Guam right now.

Hawaii

Medicaid that COUNTS as “minimum essential coverage” in Hawaii

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Quest Integration

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Hawaii

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Idaho

Medicaid that COUNTS as “minimum essential coverage” in Idaho

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Idaho

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Illinois

Medicaid that COUNTS as “minimum essential coverage” in Illinois

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Illinois

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Indiana

Medicaid that COUNTS as “minimum essential coverage” in Indiana

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Healthy Indiana Plan 1.0
  • Healthy Indiana Plan 2.0

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Indiana

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Iowa

Medicaid that COUNTS as “minimum essential coverage” in Iowa

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Iowa Health and Wellness Plan
  • Marketplace Choice Plan

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Iowa

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.
  • Family Planning Network Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Kansas

Medicaid that COUNTS as “minimum essential coverage” in Kansas

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • KanCare

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Kansas

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Kentucky

Medicaid that COUNTS as “minimum essential coverage” in Kentucky

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Kentucky

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Louisiana

Medicaid that COUNTS as “minimum essential coverage” in Louisiana

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Louisiana

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.
  • Greater New Orleans Community Health Connection
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Maine

Medicaid that COUNTS as “minimum essential coverage” in Maine

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Individuals with HIV/AIDS with income at or below 100% of the FPL receive full state plan benefits

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Maine

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Individuals with HIV/AIDS with income at or below 250% of the FPL who receive limited services such as DME, PT, dental, HCBS, optometry.
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Maryland

Medicaid that COUNTS as “minimum essential coverage” in Maryland

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Maryland Health Choice

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Maryland

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Massachusetts

Medicaid that COUNTS as “minimum essential coverage” in Massachusetts

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • MassHealth Comprehensive Demonstration

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Massachusetts

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Michigan

Medicaid that COUNTS as “minimum essential coverage” in Michigan

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Healthy Michigan

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Michigan

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Michigan Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Minnesota

Medicaid that COUNTS as “minimum essential coverage” in Minnesota

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Prepaid Medical Assistance

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Minnesota

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • MN Reform 2020
  • Minnesota Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Mississippi

Medicaid that COUNTS as “minimum essential coverage” in Mississippi

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Healthier Mississippi Demo:
    • Children up to age 20 receive State Plan
    • Adults receive most-state plan services with limitations on non-essential health benefit

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Mississippi

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Mississippi Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Missouri

Medicaid that COUNTS as “minimum essential coverage” in Missouri

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Missouri

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Gateway to Better Health
  • Missouri Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Montana

Medicaid that COUNTS as “minimum essential coverage” in Montana

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Montana

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Montana Basic Medicaid for Able-Bodied Adults
  • Montana Plan First Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Nebraska

Medicaid that COUNTS as “minimum essential coverage” in Nebraska

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Nebraska

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Nevada

Medicaid that COUNTS as “minimum essential coverage” in Nevada

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Comprehensive Care Waiver

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Nevada

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

New Hampshire

Medicaid that COUNTS as “minimum essential coverage” in New Hampshire

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in New Hampshire

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

New Jersey

Medicaid that COUNTS as “minimum essential coverage” in New Jersey

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • New Jersey Comprehensive

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in New Jersey

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

New Mexico

Medicaid that COUNTS as “minimum essential coverage” in New Mexico

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Centennial Care

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in New Mexico

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

New York

Medicaid that COUNTS as “minimum essential coverage” in New York

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • New York Partnership

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in New York

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

North Carolina

Medicaid that COUNTS as “minimum essential coverage” in North Carolina

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in North Carolina

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

North Dakota

Medicaid that COUNTS as “minimum essential coverage” in North Dakota

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in North Dakota

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Northern Mariana Islands

States and territories have different rules about who qualifies for Medicaid. You can find out if you can get Medicaid in the Northern Mariana Islands right now. There is no public website available for Medicaid in the Northern Mariana Islands. You can contact the Medicaid administrator at (670) 664-4890 or chcmc@pticom.com.

Ohio

Medicaid that COUNTS as “minimum essential coverage” in Ohio

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Ohio

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Oklahoma

Medicaid that COUNTS as “minimum essential coverage” in Oklahoma

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Oklahoma SoonerCare

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Oklahoma

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Oregon

Medicaid that COUNTS as “minimum essential coverage” in Oregon

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Oregon Health Plan

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Oregon

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Oregon Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Pennsylvania

Medicaid that COUNTS as “minimum essential coverage” in Pennsylvania

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Healthy Pennsylvania

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Pennsylvania

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Pennsylvania Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Puerto Rico

States and territories have different rules about who qualifies for Medicaid. You can find out if you can get Medicaid in Puerto Rico right now.

Rhode Island

Medicaid that COUNTS as “minimum essential coverage” in Rhode Island

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Global Consumer Choice:
    • Mandatory and optional state plan groups
    • Individuals whose eligibility is derived from the demonstration

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Rhode Island

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Global Consumer Choice:
    • Elderly who receive adult day care, home health care services and case
    • Adults with disabilities who receive Home and Community-Based Services or similar
    • Youth with serious emotional disturbance (SED) not eligible for Medicaid receive detection and intervention services
    • Family planning
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

South Carolina

Medicaid that COUNTS as “minimum essential coverage” in South Carolina

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in South Carolina

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

South Dakota

Medicaid that COUNTS as “minimum essential coverage” in South Dakota

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in South Dakota

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Tennessee

Medicaid that COUNTS as “minimum essential coverage” in Tennessee

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • TennCare:
    • Mandatory and optional state plan populations
    • Medically eligible children
    • Choices 217 individuals
    • Non-pregnant adults

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Tennessee

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Texas

Medicaid that COUNTS as “minimum essential coverage” in Texas

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Texas Healthcare Transformation and Quality Improvement

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Texas

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Utah

Medicaid that COUNTS as “minimum essential coverage” in Utah

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Primary Care Network:
    • Adults eligible under section 1925 & 1931 and medically needy adults
    • Adults with income at or below 200% of the FPL who receive premium assistance
    • COBRA-eligible adults with income below 200% FPL who receive premium assistance
    • CHIP children who receive premium assistance

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Utah

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Primary Care Network:
    • Adults with income at or below 95% of the FPL who receive a limited primary and preventive care benefit package
    • High-risk pregnant women who receive pregnancy-related services
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Vermont

Medicaid that COUNTS as “minimum essential coverage” in Vermont

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Global Commitment to Health Comprehensive for mandatory and optional state plan populations

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Vermont

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Global Commitment to Health Comprehensive for individuals with moderate needs who receive a subset of Home and Community-Based Services
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Virgin Islands

States and territories have different rules about who qualifies for Medicaid. You can find out if you can get Medicaid in the Virgin Islands right now.

Virginia

Medicaid that COUNTS as “minimum essential coverage” in Virginia

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Virginia FAMIS MOMS and FAMIS select for uninsured pregnant women

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Virginia

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.
  • Virginia FAMIS MOMS and FAMIS select for CHIP with premium assistance
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Washington

Medicaid that COUNTS as “minimum essential coverage” in Washington

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Washington

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Washington Take Charge Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

West Virginia

Medicaid that COUNTS as “minimum essential coverage” in West Virginia

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Medicaid for medically needy individuals if you qualify for comprehensive coverage without needing to deduct medical expenses from your income to meet the state’s medically needy income level (spend down). (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in West Virginia

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Medicaid for medically needy individuals if you qualify for comprehensive coverage only after incurring medical expenses to meet a spenddown amount. (Medically needy programs are for people with high medical expenses who wouldn’t otherwise qualify for Medicaid because their income is too high.)
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Wisconsin

Medicaid that COUNTS as “minimum essential coverage” in Wisconsin

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.
  • Badger Care Reform

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Wisconsin

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.

Wyoming

Medicaid that COUNTS as “minimum essential coverage” in Wyoming

If anyone in your household is covered by the following programs, they do have minimum essential coverage. This means they are not eligible for premium tax credits and other savings with a Marketplace plan.

  • Full Medicaid coverage
  • Medicaid for low-income pregnant women Programs that cover the costs of maternity and childbirth services for women who aren’t eligible for Medicaid otherwise.

What to do: If anyone in your household is covered by the programs above, IMMEDIATELY end their Marketplace coverage with premium tax credits. See how to end a Marketplace insurance plan.

They can enroll in a Marketplace plan, but only at full price.

Medicaid that DOESN’T count as “minimum essential coverage” in Wyoming

If anyone in your household is covered by only the following programs, they do not have minimum essential coverage. This means they are eligible for premium tax credits and other savings on a Marketplace insurance plan, if they qualify based on their income and other criteria.

  • Wyoming ‘Pregnant by Choice’ Family Planning Demonstration
  • Limited coverage that pays only for:
    • Family planning
    • Emergency Medicaid
    • Tuberculosis services
    • Outpatient hospital services

What to do: You don’t have to end Marketplace coverage for anyone whose only additional health coverage is provided by the plans above. They can keep their Marketplace plan with tax credits and other savings too. You don’t have to take any action on the notice from the Marketplace.