If you're going to buy insurance through a state or federal marketplace (“exchange”), financial help may be available. People with low or modest incomes may qualify for:
- Money to help pay for the cost of your premiums, which is the amount you pay for insurance; and
- Money to help pay for your out-of-pocket health care expenses.
The amount you get depends on how much you make and how big your family is. You can use the tool to see if you may qualify for financial help. You'll then need to submit an official application when you apply for insurance.
If you don't qualify for financial help in the marketplace but can't afford health insurance, you may still be eligible for Medicaid or financial help through the Children's Health Insurance Program (CHIP).
If Employer Health Insurance Is Available to You
Does your employer or your spouse or, if eligible, domestic partner's employer offer health insurance to you? If the employer's plan meets the minimum coverage and cost levels, you will not be eligible for financial help to pay for health insurance through a marketplace. However, you may be eligible for financial help if your employer's plan is considered “unaffordable.” To be considered unaffordable, the cost of “you only” coverage through your employer would need to be more than 9.5% of your income.