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Individuals and Families: See if you qualify for a special enrollment or Medicaid. Get your Form 1095-A for your 2016 taxes.
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Individual and Family Health Insurance

Reduce Your Premiums

For too many individuals and families, the cost of health insurance has been a large barrier to getting covered.

Under the health law, a single, streamlined application will help individuals and families apply for Medicaid or for financial assistance with private insurance premiums. The financial assistance can, in some cases, lower the prices dramatically. The amount of help you receive is based on your income. You will only pay your part of the premium. The rest will come from the federal government directly to the insurer you choose.

You may be eligible for financial assistance with premiums for private insurance if:

  • You're a single adult with income between $25,542 and $47,520
  • You're a married couple, or a family of 2 with combined income between $34,443 and $64,080
  • You're a family of 3 with total income between $44,553 and $80,640
  • You're a family of 4 with total income between $53,703 and $97,200

Some people will also get help with their cost-sharing expenses like deductibles, copayments, and other out-of-pocket costs.

Individuals may be eligible for Medicaid if they fall under the following categories:

  • A single adult without dependent children with monthly household income up to $2,128 ($25,542 annually)
  • An individual age 19 or 20 with monthly household income up to $2,188 ($26,255 annually)
  • A parent or caretaker relative with a dependent child under the age of 18 (household of 2) with monthly household income up to $2,950 ($35,404 annually) for the parent and $525 ($6,300 annually) for the dependent child;
  • A parent or caretaker relative with two dependent children under the age of 18 (household of 3) with monthly household income up to $3,713 ($44,554 annually) for the parent and $525 ($6,300) for each dependent child
  • A pregnant woman expecting twins* with one dependent child under the age of 18 (household of 4) with monthly household income up to $6,561 ($78,732 annually)

* If pregnant you must count yourself and the number of children you are expecting.