We have included some tools to help you work out if you or your children may be eligible for Medicaid, FAMIS, Plan First or other health benefits through the Federal Marketplace.
Check your eligibility
Click on the Eligibility Screening Tool on the right and answer a few questions to find out which health care coverage options may be available to you.
- Answer questions for the people in your family that are included on your federal taxes.
- If you don't file federal taxes, just answer for family members living with you (spouse and children under 21).
- You must answer each question with a number, even if it is 0.
The graph below is a quick reference guide to help you decide what health care benefits you or your family may qualify for. It shows what coverage options are available by program and by income. The numbers on the left side of the graph show the upper percentage limits of Federal Poverty Level (FPL)* for each program.
*The set minimum amount of gross income that a family needs for food, clothing, transportation, shelter and other necessities. In the United States, this level is determined by the Department of Health and Human Services. FPL varies according to family size. The number is adjusted for inflation and reported annually in the form of poverty guidelines. Public assistance programs, such as Medicaid in the U.S., define eligibility income limits as some percentage of FPL.
To help you:
138% FPL = $1,469 gross income per month for 1 person
138% FPL = $3,014 gross income per month for a family of 4
(includes a 5% income disregard)
Income charts for pregnant women, FAMIS and Plan First are available in [PDF] English and [PDF] Spanish. Visit the New Health Coverage for Adults page for income information about this new covered group. For income information about the Federal Health Insurance Marketplace, visit the Marketplace page.
Federal Health Insurance Marketplace
The 2019 Open Enrollment period for the Federal Health Insurance Marketplace has ended. For more information about who qualifies during the Special Enrollment Period, go to the Marketplace page on this website or visit www.healthcare.gov.
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