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 $11,670 and $46,680 a year, or if you have a family of four and make between $23,850 and $95,400 a year. Subsidies are based on your estimated household income for 2015. You can use your 2014 tax return to estimate your 2015 income. When you file taxes for 2015, the IRS will adjust your subsidy based on your actual income.
You also may be eligible for cost-sharing subsidies that will lower your 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 Oregon is one of them, you may be eligible if your annual income is no more than about $16,000 for one person and about $33,000 for a family of four.
CHIP: The Children's Health Insurance Program, called Healthy Kids in Oregon, provides coverage for children of some families who have a low income but are not eligible for Medicaid.
In addition to HealthCare.gov, there are several ways you can get help with your insurance decisions:
- Call Center: You can call either the state help line, 855-268-3767 from 7 a.m.-7 p.m. Mon-Fri, or the federal government's help line, 800-318-2596, 24 hours a day, 7 days a week for information, help, and to buy insurance. The state help line will help you with questions on health plan choices, access to navigators and brokers, and general health insurance questions. The federal help line will help you with questions on enrollment.
- Navigators and Assisters: They can teach you about the Marketplace and guide you through your insurance decisions. Find help at CoverOregon.com or LocalHelp.HealthCare.gov.
- Local, State, and Federal Organizations: Many health and community organizations, public libraries, and hospitals are offering help. Find a list of community events at CoverOregon.com.
- Certified Insurance 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. Find an agent at CoverOregon.com.