Explaining Health Care Reform: Questions About Health Insurance Subsidies
Catastrophic health plans typically have a lower monthly premium than other Qualified Health Plans in the Marketplace, but generally require beneficiaries to pay all of their medical costs until the deductible is met. To qualify for a catastrophic plan, an individual must either be under 30 years of age or eligible for a “hardship exemption.” For more information, see https://www.healthcare.gov/can-i-buy-a-catastrophic-plan/
These figures represent the FPL in the continental United States. The 2014 FPL is slightly higher in Hawaii ($13,420 for an individual and $27,430 for a family of four) and in Alaska ($14,580 for an individual and $29,820 for a family of four).
Lawfully present immigrants whose household income is below 100% FPL and are not otherwise eligible for Medicaid are eligible for tax subsidies through the Marketplace if they meet all other eligibility requirements.
Employee contributions for family coverage may exceed 9.5% of household income and still be considered affordable under the ACA so long as the employee’s individual premium would not exceed 9.5% of household income.
With the exception of pregnant women in certain states, most lawful permanent residents must wait 5 years after receiving “qualified” immigrant status before being eligible for Medicaid. For more information, see https://www.healthcare.gov/what-do-immigrant-families-need-to-know/