In this Health Reform: Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 22, 2020, Tara Straw, Senior Policy Analyst, provides an in-depth review of eligibility rules for premium tax credits—including how offers of employer-sponsored insurance can affect eligibility—as well as how premium tax…
The health reform law changed the way Medicaid and CHIP determine eligibility for most beneficiaries to align with how eligibility for premium tax credits is determined in the Marketplaces. All three coverage programs determine a household’s size and income using tax rules. The Center on Budget and Policy Priorities developed…
In this Health Reform: Beyond the Basics webinar presented on September 15, 2020, Tara Straw, Senior Policy Analyst, and Shelby Gonzales, Director of Immigration Policy, detail the rules used to determine household size and explain what counts as income when determining eligibility for premium tax credits and Medicaid.
Eligibility for the premium tax credit is based on certain tax rules determining filing status and who is included in a tax household. This reference guide walks through the following: Who can be claimed as a tax dependent? Tax filing statuses and eligibility for the premium tax credit Rules to…
Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will…
Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. ↓ Download PDF Why does household size matter when calculating eligibility for the…
Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). The MAGI methodology includes rules prescribing who must be included in a household when determining eligibility. The following Q&A explains MAGI and…
Updated August 2020 Financial eligibility for the premium tax credit, most categories of Medicaid, and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). The following Q&A explains what income is included in MAGI. ↓ Download PDF How do marketplaces,…
We have created a tool to help you estimate the income and expenses a self-employed client needs to include on their HealthCare.gov application to project their income for the enrollment year. This tool will give the client a ballpark estimate of their projected net self-employment income. There’s no need to…
In this Beyond the Basics webinar presented on February 6, 2020, Sarah Lueck, Senior Policy Analyst, reviews the circumstances that trigger a special enrollment period and the timing of coverage effective dates for different triggering events. This webinar also covers changes and updates to the rules surrounding special enrollment periods.↓…
