coverage for lawfully present immigrants
Lawfully present immigrants are eligible for coverage through the Health Insurance Marketplace®.
The term “lawfully present” includes immigrants who have:
- “qualified non-citizen” immigration status with no waiting period (see details below).
- humanitarian statuses or circumstances (including temporary protection status, special status for minors, asylum seekers, convention against torture, victims of trafficking).
- valid nonimmigrant visas.
- legal status conferred by other laws (status of temporary resident, act of life, natural persons of family unit). See a complete list of immigration statuses eligible for Marketplace coverage.
- If your annual income is more than 400% of: You may still qualify for premium tax credits that lower your monthly premium for a 2022 Marketplace health insurance plan.
- if your annual income is between 100% and 400% fpl: You may qualify for premium tax credits and other savings on marketplace insurance.
- If your annual income is at or below 150% of the fpl and you’re not eligible for Medicaid or the Children’s Health Insurance Program (CHIP): You can enroll in or change Marketplace coverage through a . see if you can get health coverage.
- if your annual household income is less than 100% fpl: If you’re not eligible for medicaid, you’ll qualify for premium tax credits and other savings on marketplace insurance, if you meet all other eligibility requirements.
immigrants and medicaid & tab
Immigrants who are “qualified non-citizens” are generally eligible for coverage through Medicaid and the Children’s Health Insurance Program (CHIP), if they meet their state’s income and residency rules.
To get Medicaid and chip coverage, many qualified non-citizens (such as many LPRs or green card holders) have a 5-year waiting period. This means they must wait 5 years after receiving “qualified” immigration status before they can get Medicaid and chip coverage. There are exceptions. for example, refugees, asylees or lprs who used to be refugees or asylees do not have to wait 5 years.
The term “qualified non-citizen” includes:
- lawful permanent residents (lpr/green card holder)
- Cuban/Haitian participants
- on parole in the us. for at least one year
- conditional entry granted before 1980
- non-citizens, battered spouses, children or parents
- victims of trafficking and their spouse, child, sibling or parent or persons with a pending application for a victim of trafficking visa
- withholding of removal granted
- member of a federally recognized Indian tribe or American Indian born in Canada
- citizens of the Marshall Islands, Micronesia, and Palau who live in one of the United States. states or territories (called pact of free association or migrant cofa)
medicaid & chip coverage for legally residing children and pregnant women
States have the option to waive the 5-year waiting period and cover legally residing children and/or pregnant women on Medicaid or chip. A child or pregnant woman is “lawfully present” if they are “lawfully present” and eligible for Medicaid or CHIP in the state. learn how someone is defined as lawfully present.
Twenty-nine states, plus the District of Columbia and the Commonwealth of the Northern Mariana Islands, have chosen to provide Medicaid coverage to legally residing children and/or pregnant women without a 5-year waiting period. Twenty-one of these states also cover legally residing children or pregnant women on chip. find out if your state has this option.
get emergency care
Medicaid provides payment for treatment of an emergency medical condition for people who meet all of the state’s Medicaid eligibility criteria (such as income and state residency), but do not have an eligible immigration status.
medicaid, chip and & “public charge” status
applying for or receiving medicaid or chip benefits, or getting health insurance cost savings in the marketplace, does not make someone a “public charge.” This means that it will not affect your chances of becoming a legal or permanent resident in the US. uu. citizen.
There is an exception for people who receive long-term care in an institution paid for by the government, such as a nursing facility. these people may face barriers to obtaining a green card.
lawfully present immigrants and market savings
If you’re a lawfully present immigrant, you can buy private health insurance on the marketplace. You may be eligible for lower monthly premium costs and lower out-of-pocket costs based on your income.