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?
Select your name if one or more of these conditions applies to you (answer yes even if you’re not sure the conditions will qualify you for disability coverage):
- You’re blind, deaf, or hard of hearing.
- You get Social Security Disability Insurance (SSDI) or Supplemental Security Insurance (SSI).
- You have a physical, cognitive, intellectual, or mental health condition, which causes one or more of these:
- Difficulty doing errands like visiting a doctor’s office or shopping.
- Serious difficulty concentrating, remembering, or making decisions.
- Difficulty walking or climbing stairs.
If we ask this question about a child, select his or her name if one or more of these conditions applies to the child:
- They have limited ability to do things most children of the same age can do
- They need or use more health care than most children of the same age
- They get special education services or services under a Section 504 plan
If you select your name or the name of someone on your application when asked any of these questions, we’ll send your Marketplace application to your state Medicaid office. Your state office will determine if you qualify for Medicaid based on your disability.
- Your state Medicaid office may contact you for information on your disability.
- If you don't qualify for Medicaid based on your disability, you may be eligible based on your income, or you may qualify to buy a Marketplace health insurance plan with a premium tax credit. Plans can't deny you coverage because of a disability.
If you select “None of these people,” we won’t send your application to your state Medicaid office because of a disability. We may send it later in the process if we think you’ll qualify based on your income.
Do you need help with the activities of daily living through personal assistance services, a nursing home, or other medical facility?
Activities of daily living include seeing, hearing, walking, eating, sleeping, standing, lifting, bending, breathing, learning, reading, communicating, thinking, and working.
This includes a cognitive or mental health condition and needing help with these activities through coaching or instruction.
If a person needs help only because they're too young to do these activities without help, don't select their name.
Are you a full-time student?
If you aren’t sure whether you’re a full-time student, check with your school.
Do you have a parent living in the same state where you go to school?
You may be asked this if you’re a full-time student. A parent can be a birth, adoptive, step, or foster parent.
Why are we asking this question? We want to make sure people get health coverage in the right state. Sometimes full-time students get health coverage in the state where their parents live instead of the state where they go to school.
Are you American Indian or Alaska Native?
American Indians and Alaska Natives can still get services from the Indian Health Services, tribal health programs, or urban Indian health programs, and the results of this application won’t change that.
Get more information on questions asked to American Indians and Alaska Natives.
Why are we asking this question? If you're an American Indian or Alaska Native, you may get more help—you may not have to pay cost sharing and may get monthly Special Enrollment Periods.
Are you pregnant?
If you're pregnant, you may be able to get more help paying for health coverage, depending on your household income.
If you're pregnant, telling us here will help the whole household get the most help possible paying for health coverage.
How many babies are you expecting during this pregnancy?
If you’re pregnant, telling us how many babies you’re expecting during this pregnancy will help the whole household get the most help possible paying for health coverage.
Were you ever in foster care?
Why are we asking this? Sometimes young adults who were in foster care can get more help paying for health coverage.
Were you getting health care through your state Medicaid program?
Why are we asking this? Sometimes young adults who were in foster care can get more help paying for health coverage, but only if they were enrolled in Medicaid while they were in foster care.