Maryland Health Connection
Financial Aid and Medicaid
You may be eligible for financial aid to help pay for insurance or for government-sponsored insurance, such as Medicaid or CHIP. Here’s what’s available:
Premium Subsidies (also known as Tax Credits ): You may qualify for a federal subsidy to help lower your monthly premium. The subsidy is available only if you buy your insurance in the Marketplace. In general, you'll be eligible if you're single and make between $11,770 and $47,080 a year, or if you have a family of four and make between $24,250 and $97,000 a year. Subsidies are based on your estimated household income for 2016 and the cost of the health plans in your area. The lower your income, the more assistance you will receive. You can use your 2015 tax return to estimate your 2016 income. When you file taxes for 2016, the IRS will adjust your subsidy based on your actual income.
You also may be eligible for cost-sharing subsidies if your income is below $29,425 for an individual or $60,625 for a family of four. Cost-sharing subsidies will lower your out-of-pocket costs when you get medical care. Cost-sharing subsidies are available only if you buy a silver-level plan.
Medicaid Expansion : Some states expanded their Medicaid programs so more people can get health insurance coverage. Because Maryland is one of them, you may be eligible if your annual income is no more than about $16,243 for one person and $33,465 for a family of four.
CHIP: The Children's Health Insurance Program, called the Maryland Children’s Health Program in Maryland, provides coverage for children of some families who have a low income but are not eligible for Medicaid. For information about eligibility and coverage, go to MCHP or call 855-642-8572.
Check with MarylandHealthConnection.gov to see if you are eligible for these programs.
In addition to Healthcare.gov, there are several ways you can get help with your insurance decisions:
- Call Center: You can call the state’s help line, 855-642-8572, for information, help, and to buy insurance. During open enrollment the help line will have extended hours.
- Navigators and Assisters: Maryland’s Connector, a network of consumer assistance organizations staffed by navigators and assisters, can teach you about the Marketplace and guide you through your insurance decisions. For information, go to MarylandHealthConnection.gov or call 855-642-8572.
- Local and State Organizations: Many health and community organizations, public libraries, and hospitals are offering in-person help. You can find a list of enrollment events at MarylandHealthConnection.gov.
- Insurance Brokers and Agents: People in the insurance business who are specially trained also can help you buy insurance through the Marketplace, and they may have policies that are not offered on the Marketplace. You can only get tax credits or subsidies if you buy through the Marketplace, though. To find an authorized broker, go to MarylandHealthConnection.gov.