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Obamacare – officially known as the Affordable Care Act (or ACA) – makes health insurance easier to get and more affordable for many people with HIV. It also removes barriers that may have kept you from being able to get coverage in the past because of your HIV status.

What this means is you can no longer be denied coverage or charged more because of your HIV status or any other health condition (known as “pre-existing conditions”).  Insurers also can’t limit how much they’ll spend on your medical care – over a year or over a life time. There are also some new standard benefits that may be helpful for your HIV care and treatment.

If you are not offered health insurance through your or a family member’s job you now have some new options available.  Depending on your income and what state you live in, you may be able to get covered through Medicaid.  If you don’t qualify for Medicaid, you can buy your own coverage through new online health insurance marketplaces (also called “exchanges”).

As part of Obamacare, states can choose to expand Medicaid to cover more people.  This means you may now be eligible for Medicaid even if you were not before. If you live in a state that is expanding Medicaid and you earn about $16,000 a year or less as a single person (or $21,000 or less as couple) you likely can get coverage under the program. Also in these states that expand Medicaid, you no longer need an AIDS diagnosis or need to be very sick or disabled to qualify.   Not all states are expanding Medicaid; if yours is not, you should still check requirements to see if you can get coverage from the program.

If you don’t qualify for Medicaid, you can buy your own coverage in online health insurance marketplaces that are now offered in every state.  All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits.  These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, and mental health care, as well as certain preventive services.

By filling out a single application – which you can do online or in person – you can find out if you qualify for Medicaid or, if you need to buy your own coverage, you can compare different plans and find out how much they cost.  You cannot be denied coverage or charged more because of your HIV status.

If you are buying your own coverage in the marketplace, financial assistance may be available to reduce how much you pay each month for your coverage (or your “premium”), and also what you pay out of your own pocket when you seek medical care. You may be eligible for financial help in the marketplace if you don’t have another source of coverage and you earn between $11,490 and $45,960 as a single person (income ranges vary depending on your family size).

As of October 1, 2013, you can apply online, or get help in person, to get coverage in the health insurance marketplace and through Medicaid. There’s an open enrollment period for plans in the marketplace that runs from November 15, 2014 through February 15, 2015.  You may also qualify for a Special Enrollment Period outside of Open Enrollment if you experience certain events. (See Special Enrollment Period and Qualifying Life Event) at the following link: https://www.healthcare.gov/glossary/open-enrollment-period/.  If you are eligible for Medicaid, you can enroll any time of year.

If you have questions or need help enrolling in coverage, go to www.healthcare.gov. There will be information about your options, resources to help you understand what you need to do and you can live chat with someone for assistance. You may also be able to get help in person from a Navigator or Patient Assistor, people whose job it is to help you learn about new ACA coverage options—search your area here.

Most Americans are required to have health insurance starting in 2014 or pay a fine if they don’t.

You may be eligible to receive additional services or financial support from the Ryan White HIV/AIDS Program, including a part of Ryan White called the AIDS Drug Assistance Program, or ADAP which are programs specifically for people with HIV.  Ryan White and ADAP don’t qualify as insurance but help may be available for the costs of purchasing new coverage in the marketplace, or for other expenses, such as HIV services your health plan does not cover.

To find out about the health insurance marketplace, including financial aid, and Medicaid coverage options in your state, click here.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for health coverage in the health insurance marketplace you must be a U.S. citizen or national living in the United States. In order to be eligible for Medicaid, individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP. 

If you are currently receiving Medicaid, you don’t need to do anything unless your circumstances change. You likely won’t see any significant change to your benefits..

Medicaid is the nation’s health insurance program for people with lower incomes, including many people with HIV.  Eligibility for Medicaid is based on having a low income (specific income levels vary by state) and requires you to fall into a specific category of eligible people (such as parents of dependent children and people with health conditions serious enough to be classified as having a disability).  Many people with HIV qualify as disabled if their condition has progressed and they have been diagnosed with AIDS.

As part of Obamacare, states can choose to expand Medicaid to cover more people.  This means you may now be eligible for Medicaid even if you were not before. If you live in a state that is expanding Medicaid and you earn about $16,000 a year or less as a single person (or $21,000 or less as couple) you likely can get coverage under the program.  Also you no longer need an AIDS diagnosis or to be very sick or disabled to qualify for coverage under these expanded programs.

In states that don’t expand Medicaid, the program will continue to be available under the same conditions as before.

If your circumstances change and you no longer receive Medicaid – or don’t expect to next year – you will want to explore other options for health care coverage.   Many people get health insurance through their own or a family member’s job.  If that is not an option, you can buy your own coverage in health insurance marketplaces now offered in every state.

All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits. These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, and mental health care, as well as certain preventive services.

To find out about your options in the marketplace, you can fill out a single application – which you can do online or in person – to learn about different plans that are available and at what cost.  You cannot be denied coverage or charged more because of your HIV status.

If you are buying your own coverage in the marketplace, financial assistance may be available to reduce how much you pay each month for your coverage (called your “premium”), and what you pay out of your own pocket when you seek medical care.  In general, you may be eligible for financial help in the marketplace if you have no other source of coverage and you earn between $11,490 and $45,960 as a single person (income ranges vary depending on your family size).

As of October 1, 2013, you can apply online or get help in person to get coverage in the health insurance marketplace and through Medicaid.  There’s an open enrollment period for plans in the marketplace that runs from November 15, 2014 through February 15, 2015.  You may also qualify for a Special Enrollment Period outside of Open Enrollment if you experience certain events. (See Special Enrollment Period and Qualifying Life Event) at the following link: https://www.healthcare.gov/glossary/open-enrollment-period/.  If you are eligible for Medicaid, you can enroll any time of year.

If you have questions or need help enrolling in coverage, go to www.healthcare.gov. There will be information about your options, resources to help you understand what you need to do and you can live chat with someone for assistance. You may also be able to get help in person from a Navigator or Patient Assistor, people whose job it is to help you learn about new ACA coverage options—search your area here.

Most Americans are required to have health insurance starting in 2014 or pay a fine if they don’t.

You may be eligible to receive additional services or financial support from the Ryan White HIV/AIDS Program, including a part of Ryan White called the AIDS Drug Assistance Program, or ADAP, which are programs specifically for people with HIV.  Ryan White and ADAP don’t qualify as insurance but help may be available for the costs of purchasing new coverage in the marketplace, or for other expenses, such as  HIV services your health plan does not cover.

To find out about the health insurance marketplace, including financial aid, and Medicaid coverage options in your state, click here.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for health coverage in the health insurance marketplace you must be a U.S. citizen or national living in the United States. In order to be eligible for Medicaid, individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP.

Medicare is the nation’s health insurance program for people 65 and older and for many younger people with disabilities, including people with HIV. If you are currently on Medicare, you don’t need to do anything, although you may see some added benefits.

Your hospital, physician and other medical bills will continue to be paid through Medicare.  As before, you have the option to choose between traditional Medicare or a Medicare Advantage plan (such as a Medicare HMO or PPO) offered in your area. You may also continue to choose among different Medicare prescription drug plans offered in your area if you are on traditional Medicare.  If you want additional coverage to supplement traditional Medicare, you also may be able to buy a Medigap supplemental insurance policy.  Medicare’s open enrollment period runs from November 15, 2014 through February 15, 2015.

You may have heard about new online health insurance marketplaces (also known as “exchanges”) set up in every state to make it easier for people who don’t have another source of coverage to buy health insurance.  These marketplaces are not for people on Medicare; in fact, it is against the law for a company to sell a marketplace plan to you if they know you have Medicare coverage.

As part of Obamacare, there are some significant improvements to Medicare’s benefits of interest to those with HIV:

  • Prescription drugs will be more affordable for Medicare beneficiaries 
  • You will no longer have to pay a fee for an annual checkup from your doctor.
  • You will no longer be charged a fee for many preventive screenings for cancer, depression, diabetes, cholesterol, obesity, and other conditions.

If you have a low income and modest assets, you may qualify for extra help with Medicare’s premiums and cost sharing requirements under the Medicare Savings Program, and for additional benefits under Medicaid that are not covered by Medicare, such as dental  and long-term services and support.  These provisions were not changed by the health reform law.

For more information about Medicare, you can visit www.medicare.gov or call the 1-800-MEDICARE help line.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for Medicare, you must be a U.S. citizen or legal resident who has lived in the U.S. for at least five years. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP. 

If you are currently receiving support for your HIV care and treatment from the Ryan White HIV/AIDS Program and the AIDS Drug Assistance Program (ADAP) you will still be required to have health insurance (if you are eligible). 

The Ryan White HIV/AIDS Program and the AIDS Drug Assistance Program (ADAP) provide services and financial assistance for care and treatment of people with HIV.  Ryan White and ADAP help people with HIV pay for health care services who cannot get affordable health insurance and they help boost other coverage, whether it is private insurance, such as through a job or Medicaid or Medicare, by covering services not covered by insurance and assisting with co-pays and cost-sharing.

The programs will continue to be available, but some of the services they currently provide might have to be replaced by insurance.

If you are not offered health insurance through your own or a family member’s job, you now have new options for coverage.   Obamacare – officially known as the Affordable Care Act (or ACA) – makes health insurance easier to get and more affordable for many people with HIV. It also removes barriers that may have kept you from being able to get coverage in the past because of your HIV status.

What this means is you can no longer be denied coverage or charged more because of your HIV or any other health condition (known as “pre-existing conditions”).  Insurers also can’t limit how much they’ll spend on your medical care – over a year or over a life time. There are also some new standard benefits that may be helpful for your HIV care and treatment.

Depending on your income and what state you live in, you may be able to get covered through Medicaid.  If you don’t qualify for Medicaid, you can now buy your own coverage through new online health insurance marketplaces (also called “exchanges”).

As part of Obamacare, states can choose to expand Medicaid to cover more people. This means you may now be eligible for Medicaid even if you were not before. If you live in a state that is expanding Medicaid and you earn about $16,000 a year or less as a single person (or $21,000 or less as couple) you likely can get coverage under the program.  Also in these states that expand Medicaid, you no longer need an AIDS diagnosis or to be very sick or disabled to qualify.   Not all states are expanding Medicaid, but even if yours is not, you should still check requirements to see if you can get coverage from the program.

If you don’t qualify for Medicaid, you can buy your own coverage in online health insurance marketplaces that are now offered in every state.  All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits.  These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, and mental health care, as well as certain preventive services.

By filling out a single application – which you can do online or in person – you can find out if you qualify for Medicaid; or, if you need to buy your own coverage, you can compare different plans that are available and how much they cost.  You cannot be denied coverage or charged more because of your HIV status.

If you are buying your own coverage in the marketplace, financial assistance may be available to reduce how much you pay each month for your premium, and what you pay out of your own pocket for medical care.   You may be eligible for financial help in the marketplace if you don’t have another source of coverage and you earn between $11,490 and $45,960 as a single person (income ranges vary depending on your family size).

As of October 1, 2013, you can apply online, or get assistance in person, for coverage in the health insurance marketplace and through Medicaid. There’s an open enrollment period for plans in the marketplace that runs from November 15, 2014 through February 15, 2015.   You may also qualify for a Special Enrollment Period outside of Open Enrollment if you experience certain events. (See Special Enrollment Period and Qualifying Life Event) at the following link: https://www.healthcare.gov/glossary/open-enrollment-period/.  If you are eligible for Medicaid, you can enroll any time of year. If you are eligible for Medicaid, you can enroll any time of year.

If you have questions or need help enrolling in coverage, go to www.healthcare.gov. There will be information about your options, resources to help you understand what you need to do and you can live chat with someone for assistance. You may also be able to get help in person from a Navigator or Patient Assistor, people whose job it is to help you learn about new ACA coverage options—search your area here.

Most Americans are required to have health insurance starting in 2014 or pay a fine if they don’t.

If you are currently receiving support for your HIV care and treatment from the Ryan White HIV/AIDS Program and the AIDS Drug Assistance Program (ADAP) you will still need to get health coverage if you are eligible.  If Ryan White assists you with co-pays or premiums to help make your coverage affordable, it may still be able to continue to help you in this way.  It may also be able to help provide you with HIV services that your new insurance does not cover. Check with your Ryan White service provider to see if this assistance is still available to you.

To find out about the health insurance marketplace, including financial aid, and Medicaid coverage options in your state, click here.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for health coverage in the health insurance marketplace you must be a U.S. citizen or national living in the United States. In order to be eligible for Medicaid, individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP. 

If you currently get health insurance from your own or a family member’s job and do not expect that to change next year, you don’t need to do anything.  You likely won’t see any significant change to your benefits.

If your circumstances change – or you are not satisfied with the coverage you have or feel you are paying too much – you can buy your own coverage from online health insurance marketplaces (also known as “exchanges”) set up in each state. The purpose of these programs is to make it easier to buy insurance on your own. Be careful, however, before you take this step as it may increase your costs.  If you choose to give up your employer insurance, you are giving up what your employer pays and you may not be eligible for financial assistance.

Only if your employer-based coverage doesn’t reach a certain standard under the law will there be an option for financial assistance to buy your own coverage in the marketplace.  In those cases, depending on how much you make, financial assistance could be available to reduce how much you pay each month for your coverage (called your “premium”) and for medical costs paid from your own pocket. You may be eligible for financial help in the marketplace if you earn between $11,490 and $45,960 as a single person (income ranges vary depending on your family size).  All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits.  These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, and mental health care, as well as certain preventative services.

By filling out a single application – which you can do online or in person – you can find out about different plans and how much they cost if you are buying your own coverage.  If you lose your job in the future, or your income is low and you have no other source of coverage, you can also find out through this process if you qualify for Medicaid.  You cannot be denied coverage or charged more because of your HIV status.

As of October 1, 2013, you can apply online or in person to get coverage in the health insurance marketplace and through Medicaid. There’s an open enrollment period for plans in the marketplace that runs from November 15, 2014 through February 15, 2015.  You may also qualify for a Special Enrollment Period outside of Open Enrollment if you experience certain events. (See Special Enrollment Period and Qualifying Life Event) at the following link: https://www.healthcare.gov/glossary/open-enrollment-period/.  If you are eligible for Medicaid, you can enroll any time of year.  If you are eligible for Medicaid, you can enroll any time of year.

If you have questions or need help enrolling in coverage, go to www.healthcare.gov. There will be information about your options, resources to help you understand what you need to do and you can live chat with someone for assistance. You may also be able to get help in person from a Navigator or Patient Assistor, people whose job it is to help you learn about new ACA coverage options—search your area here.

Most Americans are required to have health insurance starting in 2014, or pay a fine if they don’t.

You may be eligible to receive additional services or financial support from the Ryan White HIV/AIDS Program, including a part of Ryan White called the AIDS Drug Assistance Program, or ADAP, which are programs specifically for people with HIV.  Ryan White and ADAP don’t qualify as insurance but help may be available for the costs of purchasing new coverage in the marketplace, or for other expenses, such as HIV services your health plan does not cover.

To find out about the health insurance marketplace, including financial aid, and Medicaid coverage options in your state, click here.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for health coverage in the health insurance marketplace you must be a U.S. citizen or national living in the United States. In order to be eligible for Medicaid, individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP. 

If you currently buy your own health insurance (not through an employer or Medicaid or Medicare) you have new options for coverage that may cost less and provide more benefits than your current plan.

Obamacare – officially known as the Affordable Care Act (or ACA) – makes health insurance easier to get and more affordable for many people with HIV. It also removes barriers that may have kept you from being able to get coverage in the past because of your HIV status.

What this means is you can no longer be denied coverage or charged more because of your HIV or any other health condition (known as “pre-existing conditions”).  Insurers also can’t limit how much they’ll spend on your medical care – over a year or over a life time. There are also some new standard benefits that may be helpful for your HIV care and treatment.

New online health insurance marketplaces (also known as “exchanges”) are available in each state where you can buy your own insurance among different options.  All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits.  These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, and mental health care, as well as certain preventive services.

Financial assistance may be available to reduce how much you pay each month for your coverage (or your “premium”), and also what you pay out of your own pocket when you seek medical care. You may be eligible for financial help in the marketplace if you don’t have another source of coverage and you earn between $11,490 and $45,960 as a single person (income ranges vary depending on your family size).

Depending on your income and what state you live in, you may be able to get covered through Medicaid.  As part of Obamacare, states can choose to expand Medicaid to cover more people. This means you may now be eligible for Medicaid even if you were not before.  If you live in a state that is expanding Medicaid, and you earn about $16,000 a year or under as a single person (or $21,000 or less as a couple), you likely qualify for Medicaid coverage. You no longer need an AIDS diagnosis or to be very sick or disabled to get coverage under these expanded programs.

In states that are not expanding, Medicaid will continue to be available under the same conditions as before.

By filling out a single application – which you can do online or in person – you can find out if you qualify for Medicaid, or, if you are buying your own coverage, you can compare different plans that are available and how much they cost.  You cannot be denied coverage or charged more because of your HIV status.

As of October 1, 2013, you can apply online, or get assistance in person, for coverage in the health insurance marketplace and through Medicaid. There’s an open enrollment period for plans in the marketplace that runs from November 15, 2014 through February 15, 2015.  You may also qualify for a Special Enrollment Period outside of Open Enrollment if you experience certain events. (See Special Enrollment Period and Qualifying Life Event) at the following link: https://www.healthcare.gov/glossary/open-enrollment-period/.  If you are eligible for Medicaid, you can enroll any time of year.

If you have questions or need help enrolling in coverage, go to www.healthcare.gov. There will be information about your options, resources to help you understand what you need to do and you can live chat with someone for assistance. You may also be able to get help in person from a Navigator or Patient Assistor, people whose job it is to help you learn about new ACA coverage options—search your area here.

Most Americans are required to have health insurance starting in 2014 or pay a fine if they don’t.

You may be eligible to receive additional services or financial support from the Ryan White HIV/AIDS Program, including a part of Ryan White called the AIDS Drug Assistance Program, or ADAP, which are programs specifically for people with HIV.  Ryan White and ADAP don’t qualify as insurance but help may be available for the costs of purchasing new coverage in the marketplace, or for other expenses, such as HIV services your health plan does not cover.

To find out about the health insurance marketplace, including financial aid, and Medicaid coverage options in your state, click here.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for health coverage in the health insurance marketplace you must be a U.S. citizen or national living in the United States. In order to be eligible for Medicaid, individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP.

Obamacare – officially known as the Affordable Care Act (or ACA) – makes health insurance easier to get and more affordable for many people with HIV.  It removes barriers that may have limited your health care options or made it harder to get care in the past because of your HIV status.   As part of the ACA, most Americans are required to have health insurance starting in 2014, or pay a fine if they don’t.  If you have insurance that is not Medicaid, Medicare, a private insurance plan or an employer plan (including COBRA) it must be one of the following to qualify as coverage under the ACA:

-The Children’s Health Insurance Program (CHIP)

-TRICARE (for current service members and military retirees, their families, and survivors)

-Veterans health care programs (including the Veterans Health Care Program, VA Civilian Health and Medical Program (CHAMPVA)

-Peace Corps Volunteer plans

The following do not qualify as insurance if they are your only source of coverage:

- the Ryan White HIV/AIDS Program, including a part of Ryan White called the AIDS Drug Assistance Program

-coverage only for vision care or dental care

-workers’ compensation

-coverage only for a specific disease or condition

-plans that offer only discounts on medical services

If you only receive Ryan White or one of these other listed programs, you will need to obtain insurance coverage.  You can learn more about what programs are available to you, including financial help if you need it, by visiting your state page>

 

If you have coverage through Tricare or the VA, you are generally considered covered and do not need to make any changes.

Tricare, formerly called CHAMPUS, is a health care program of the U.S. Department of Defense Military Health System for members of the military and retirees and their dependents, such as their spouses and children.  If you have Tricare, you meet the ACA coverage requirements and do not need to change anything.  If you’re a veteran without VA health care, visit the VA health care website. You may learn that you qualify for VA coverage.

The Department of Veterans Affairs (VA) operates several health care programs for veterans.  The specific veterans programs that meet the ACA’s requirement to have coverage are the Veteran’s health care program, the VA Civilian Health and Medical Program (CHAMPVA), and the Spina bifida health care benefits program.

If you are a veteran who isn’t enrolled in VA benefits or other health coverage, you can get coverage from online health insurance marketplaces (also known as “exchanges”). These are programs set up in each state to make it easier to buy insurance on your own.  Even if you are covered by the VA, you may be able to obtain coverage from an insurance marketplace that lowers your monthly premiums or reduces your out-of-pocket costs (depending on your family size and income).  Also, if you are a veteran who receives health care from the VA, but you have dependents who are not eligible for VA programs, they are still required to have insurance and they may purchase coverage through a marketplace.

All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits.  These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, and mental health care, as well as certain preventive services.

Depending on how much you make, financial assistance to buy your own coverage in the marketplace may be available; this can reduce the amount you pay each month for your premium and for medical costs paid from your own pocket.

By filling out a single application – which you can do online or in person – you can compare different plans and how much they cost if you are buying your own coverage; you can also find out if you qualify for Medicaid if you lose your job and have a low income and no other source of coverage.  You cannot be denied coverage or charged more because of your HIV status.  This will allow you to compare costs with your current coverage under the VA or Tricare.

As of October 1, 2013, you can apply online in person to get coverage in the health insurance marketplace and through Medicaid. There’s an open enrollment period for plans in the marketplace that runs from November 15, 2014 through February 15, 2015.  You may also qualify for a Special Enrollment Period outside of Open Enrollment if you experience certain events. (See Special Enrollment Period and Qualifying Life Event) at the following link: https://www.healthcare.gov/glossary/open-enrollment-period/.  If you are eligible for Medicaid, you can enroll any time of year.

If you have questions or need help enrolling in coverage, go to www.healthcare.gov. There will be information about your options, resources to help you understand what you need to do and you can live chat with someone for assistance. You may also be able to get help in person from a Navigator or Patient Assistor, people whose job it is to help you learn about new ACA coverage options—search your area here.

You may be eligible to receive additional services or financial support from the Ryan White HIV/AIDS Program, including a part of Ryan White called the AIDS Drug Assistance Program, or ADAP, all designed specifically for people with HIV.  Ryan White and ADAP don’t qualify as insurance but help may be available for the costs of purchasing new coverage in the marketplace, or for other expenses, such as  HIV services your health plan does not cover.

To find out about health insurance options in your state, click here.

NOTE ABOUT CITIZENSHIP ELIGIBILITY: To be eligible for health coverage in the health insurance marketplace you must be a U.S. citizen or national living in the United States. In order to be eligible for Medicaid, individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. You do not need to be a U.S. citizen to get assistance through the Ryan White HIV/AIDS Program and ADAP.

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What you need to know

We have made every effort to provide accurate information on this portal, but you should contact the marketplace or Medicaid agency in your state for guidance on your specific situation. Click here to find contacts in your state. All data on the site were updated April 2014 and are subject to change.

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