Eligibility Requirements for Health Insurance Marketplace
Below find the requirements to enroll in Obamacare (known as the health care market place. You can also find information regarding your eligibility for Medicaid, Medicare, & CHIP Coverage for Green Card holders.
Eligibility Requirements for Obamacare
Immigrants and Medicaid & CHIP
To be eligible to enroll in health coverage through the Marketplace, you:
Learn more about Medicare and the Marketplace.
Lawfully present immigrants and Marketplace savings
If you’re a lawfully present immigrant, you can buy private health insurance on the Marketplace. You may be eligible for lower costs on monthly premiums and lower out-of-pocket costs based on your income.
Immigrants who are “qualified non-citizens” are generally eligible for coverage through Medicaid and the Children’s Health Insurance Program (CHIP), if they meet their state’s income and residency rules.
In order to get Medicaid and CHIP coverage, many qualified non-citizens (such as many LPRs or green card holders) have a 5-year waiting period.
This means they must wait 5 years after receiving "qualified" immigration status before they can get Medicaid and CHIP coverage.
There are exceptions. For example, refugees, asylees, or LPRs who used to be refugees or asylees don’t have to wait 5 years.
Medicaid & CHIP Coverage for Lawfully Residing Children and Pregnant Women
States have the option to remove the 5-year waiting period and cover lawfully residing children and/or pregnant women in Medicaid or CHIP.
A child or pregnant woman is "lawfully residing" if they’re "lawfully present" and otherwise eligible for Medicaid or CHIP in the state. Learn how someone is defined as lawfully present.
Twenty-nine states, plus the District of Columbia and the Commonwealth of the Northern Mariana Islands, have chosen to provide Medicaid coverage to lawfully residing children and/or pregnant women without a 5-year waiting period.
Twenty-one of these states also cover lawfully residing children or pregnant women in CHIP. Find out if your state has this option in place.