Eligibility for Coverage Programs

Eligibility for Coverage Programs

Key Facts

Key Facts: Premium Tax Credits | Key Facts

Key Facts: Employer-Sponsored Coverage and Premium Tax Credit Eligibility | Key Facts

Key Facts: Immigrant Eligibility for Health Insurance Affordability Programs | Key Facts

Key Facts: Helping Families that Include Immigrants Apply for Health Coverage | Key Facts

View all key facts

Premium Tax Credits

NEW Webinar: 2017 Coverage | Slide Deck PDF | Presented September 27, 2016

Part I of a four-part series on key elements of eligibility and enrollment 

Topics include:

  • Premium tax credit (PTC) eligibility
  • Calculation of the PTC
Immigrant Eligibility for Insurance Affordability Programs

NEW Webinar: 2017 Coverage | Slide Deck PDF | Presented November 3, 2016

Topics include:

  • Eligibility for Medicaid and CHIP based on immigration status
  • Eligibility for Marketplace coverage based on immigration status
  • Special Marketplace and PTC eligibility
  • Navigating the application process
Complex Eligibility Scenarios

NEW Webinar: 2017 Coverage | Slide Deck PDF | Presented November 10, 2016

Topics include:

  • Scenario 1: Affordability
  • Scenario 2: Noncustodial parents
  • Scenario 3: Increased household income
  • Scenario 4: Change in household size

View all webinars

Additional Resources

Health Assister’s Guide to Tax Rules | Guide
A guide on the basic tax rules that are applied in determining eligibility for premium tax credits and Medicaid

Minimum Essential Coverage Reference Chart | Chart
Reference tool that lists whether various types of coverage are considered MEC, and whether eligibility for that coverage makes an individual ineligible for premium tax credits

Frequently Asked Questions: Question of the Day | FAQs
Collection of FAQs on many of the common issues encountered since the implementation of health reform