Health Insurance eligibility requirements

Health Insurance Eligibility Requirements

General Requirements for Health Insurance

To be eligible for health coverage through the Marketplace, you must meet the following requirements. First, you need to live in the United States. Also, you must be a U.S. citizen or national, or be lawfully present non-citizen in the U.S. Lastly, you must not be incarcerated.

Income and Residency Requirements for Health Insurance

Eligibility for health insurance is determined by your income and residency. Moreover, each state may have different requirements. For instance, in Washington state, to be eligible for Apple Health, you must be a resident of Washington state. In addition, you must be a US citizen or legal resident for 5 years or longer. Furthermore, your income must be at or below 138% of the Federal Poverty level. However, citizenship status is not a factor for children (18 & under) to be eligible for Apple Health.

Eligibility for Medicaid is determined at the state level. For example, in North Carolina, to be eligible for Medicaid, a person must be a U.S. citizen or have an eligible immigration status. Additionally, they must live in North Carolina and have a Social Security number or show they have applied, if eligible for one.

In Massachusetts, you must be a resident of Massachusetts to get MassHealth or other health care benefits that are funded by the Commonwealth. You meet residency requirements if you live in Massachusetts and either intend to reside in Massachusetts, with or without a fixed address, or have entered Massachusetts with a job commitment or seeking employment.