Texas Health Insurance Marketplace
Financial Aid and Medicaid continued...
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 Medicaid so more people can get health insurance coverage. Although Texas did not, you may still qualify for some type of assistance even if your income is too low to qualify for a premium subsidy. You will not have to pay a fine for not having insurance if your state did not expand Medicaid and your income is too low to qualify for a premium subsidy.
CHIP: The Children's Health Insurance Program, called CHIP in Texas, 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 the federal government's help line, 800-318-2596, 24 hours a day, 7 days a week, for information, help, and to buy insurance.
- Navigators and Assisters: They can teach you about the Marketplace and guide you through your insurance decisions. Here are the organizations approved to operate Navigator programs.
- Local, State, and Federal Organizations: Many health and community organizations, public libraries, and hospitals are offering help. Find a list at LocalHelp.HealthCare.gov. Be Covered Texas, a consortium of public and private organizations, offers online information about Marketplace enrollment, eligibility, and more.
- 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.