In this Beyond the Basics webinar presented on September 8, 2022, Jenny Sullivan, Director of Health Coverage Access, covers the rules used to determine household size and explain what counts as income when determining eligibility for premium tax credits and Medicaid.
Most people who enroll in health insurance through the marketplace are eligible for financial help. Premium tax credits lower up-front monthly premiums and cost-sharing reductions lower deductibles, copayments, and other costs when people use their insurance.
Determining household size and accurately calculating income are key to determining whether someone is eligible for Medicaid or financial help in the marketplace. Tools to calculate income and self-employment earnings can help people complete their applications.
Certain circumstances, like having an offer of employer-sponsored insurance, might disqualify someone from financial help.
Non-MAGI Medicaid Eligibility: Core Concepts for Enrollment Assisters
In this Beyond the Basics webinar presented on April 16, 2024, Farah Erzouki, Senior Policy Analyst at the Center on Budget and Policy Priorities; and National Health Law Program speakers Michelle Yiu, Policy Fellow; Charly Gilfoil, Senior Projects Attorney; and Miriam Delaney Heard, Senior Attorney, covered core concepts related to…
Special Enrollment Periods (SEP) Reference Chart
Generally, people can only enroll in a marketplace plan or switch plans on HealthCare.gov during the annual open enrollment period. But people who experience certain life events during the year are able to newly enroll in a plan or switch plans outside of open enrollment through a special enrollment period…
Premium Tax Credit Calculator
This calculator provides an estimate of the amount of financial help a person may be eligible for and how much they could expect to pay for health insurance on the marketplace. The information provided is reflects the increase to premium tax credits in the American Rescue Plan and the Inflation Reduction…
Tying It All Together
In this Beyond the Basics webinar presented on October 24, 2023, Claire Heyison, Senior Policy Analyst for Health Insurance & Marketplace Policy, and Jenny Sullivan, Director of Health Coverage Access, bring together all of the policies covered in the Beyond the Basics webinar series by walking through a series of…
Boosting Enrollment Among People Who Are Immigrants & Their Families: Outreach and Application Process Considerations
In this Beyond the Basics webinar presented in partnership with the National Immigration Law Center (NILC) on October 17, 2023, Gabrielle Lessard, Senior Policy Attorney at NILC, and Shelby Gonzales, Vice President for Immigration Policy at the Center on Budget and Policy Priorities, provide an overview of barriers to enrollment…
Changes to the Marketplace in the Inflation Reduction Act
The Inflation Reduction Act extends the increased marketplace premium subsidies that were enacted by the American Rescue Plan Act through 2025. With the increased premium subsidies in effect, monthly premium payments are lower and many more people can enroll in a marketplace plan at low or no cost. This FAQ…
Part I: Immigration-Related Eligibility for Health Coverage Programs
In this Beyond the Basics webinar presented in partnership with the National Immigration Law Center (NILC) on September 19, 2023, Gabrielle Lessard, Senior Policy Attorney at NILC, and Shelby Gonzales, Vice President for Immigration Policy at the Center on Budget and Policy Priorities, provide an overview of immigration-related eligibility requirements…
Income Calculation Worksheet (Available in 8 Languages)
This worksheet will help individuals add up their current monthly income and estimate their annual income for the following year. It will be particularly useful for people with multiple sources of income. This is a fillable worksheet, which means you can fill it out on your computer and email it…
Premium Tax Credits
In this Beyond the Basics webinar presented on September 14, 2023, Jenny Sullivan, Director of Health Coverage Access, provided an in-depth review of eligibility rules for premium tax credits as well as how premium tax credits are calculated. Webinar Resources ↓ Presentation Slides (PDF)
Determining Households and Income
In this Beyond the Basics webinar presented on September 12, 2023, Jenny Sullivan, Director of Health Coverage Access, and Allison Orris, Senior Fellow on the Health Policy Team, cover the rules used to determine household size and explain what counts as income when determining eligibility for premium tax credits and…