In some states, Medicaid has been expanded to cover all adults below a certain income level. If your state has expanded Medicaid, you may now qualify for Medicaid coverage.

We need to know about everyone who is applying for health coverage and their relationships to each other.

You’ll be asked if you’ve ever gotten a health service from the Indian Health Service, a tribal health program, or urban Indian health program or through a referral from one of these programs. Even if you’ve only gotten a service once, select “Yes.” It doesn’t matter how long ago you got the service(s).

American Indians and Alaska Natives may qualify for special benefits through the Marketplace. If you or anyone else on your application is American Indian or Alaska Native, select “Yes” when you’re asked this question.

You’ll first get your “Eligibility Results” after you submit your Marketplace application. But, you can also go back and view them at any time by following these steps:

You'll be asked to enter a home address and a mailing address. You may also be asked to enter this information for your dependents, if they'll be covered by your employer's SHOP plan.

The home address can't be a P.O. box.

It's OK if the mailing address is either a street address or a P.O. box.

You must answer all questions and items on your application unless they’re marked optional.

It’s important to answer other optional questions, like if you’re pregnant or have a disability, so we can make sure you get the most help possible.

If you answer an optional question about your race or ethnicity, your answer won’t impact your eligibility for health coverage, your plan options, or your costs in any way.

You may be asked the following questions. The details below can help you answer accurately.

Do you have a physical disability or mental health condition that limits your ability to work, attend school, or take care of your daily needs?

FYI

To determine your eligibility for lower costs, we ask for two kinds of income:

You may be asked if you want help paying for medical bills for the last 3 months. Medicaid may be able to help you pay for medical care from the last 3 months, even if you weren’t enrolled in Medicaid at the time you got medical care, if you would've been eligible at that time. Payment will depend on your family’s income and a few other factors at the time.

If someone on your application has medical bills and is eligible for Medicaid, the Medicaid agency will follow-up to ask more about their medical bills.

Each Marketplace application plan has a unique plan ID.

You’ll be asked if you’re a member of a federally recognized tribe. A federally recognized tribe is an Indian or Alaska Native tribe, band, nation, pueblo, village, or community that’s acknowledged by the U.S. Department of the Interior as an Indian tribe.