Immigrants: Health Insurance Options

Medically Reviewed by Sarah Goodell on November 09, 2022

How does health reform affect you if you're an immigrant? Can you get financial help from the U.S. government to help pay for insurance? Could you benefit from expanded Medicaid? It depends on your situation.

If you already have a health plan from your employer, another source, or use Medicaid or Medicare, you don't have to change it.

For Legally Present Immigrants

If you are a naturalized citizen or legally immigrated to the U.S., you can buy health insurance through your state's online Marketplace, also called an exchange. You can also contact your state’s marketplace by phone or in person.

In the online Marketplace, when you enter your income, age, and family size, you will learn if you are eligible for a tax credit. That's a type of financial help from the U.S. government that lowers your premiums or your monthly insurance costs. You may also find that you are eligible for help paying out-of-pocket costs when you go to the doctor. Some people with very low incomes may also qualify for Medicaid.

In addition to your state's Marketplace, you can also enroll in a health plan from an insurance broker certified to sell health plans both on and outside of the government-run Marketplaces. That person may be able to help you find a plan that qualifies for a subsidy.  

You may be eligible to apply for Medicaid or the Children’s Health Insurance Program (CHIP) if your annual income is low. These are health insurance programs for low-income people and their families. There is a waiting period of five years for most immigrants who are in the U.S. legally to qualify for these programs. However, about half of states waive this waiting period for children and pregnant women. Other groups exempt from the 5-year waiting period include refugees, those seeking asylum, human trafficking victims, and families of veterans.  

A good place to find out more information on your options is This is the federal marketplace. If your state runs its own marketplace, will direct you there. You can find out if you qualify for a tax credit or Medicaid and enroll in a plan.

For Immigrants Illegally Present in the U.S.

If you are not legally present in the U.S., you can't buy insurance through your state's Marketplace. But you can buy it through an insurance broker or directly through an insurance company.

If you are not legally present in the U.S., you can get low-cost health care at a community health center. These centers provide primary health care services to all residents, including immigrant families. In addition, you are eligible for emergency care.


Show Sources


Community Catalyst & Georgetown University Health Policy Institute: "Health Insurance 101."

Consumer Reports: "Health Reform: Seven Things You Need to Know Now."

Henry J. Kaiser Family Foundation: "The Requirement to Buy Coverage Under the Affordable Care Act" and "Explaining Health Reform: How will the Affordable Care Act affect Small Businesses and their Employees?"

Kaiser Permanente: "Your Guide to Reform."

National Immigration Law Center: "Immigrants and the Affordable Care Act (ACA)."

The Daily Beast: "Obamacare: It's Cheaper!"

Families USA: "Help Is at Hand: New Health Insurance Tax Credits for Americans."

IRS: "Part III Administrative, Procedural, and Miscellaneous." "Medicaid and CHIP Coverage of Lawfully Residing Children and Pregnant Women."

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