- Citizenship or Immigration Status: You must be a U.S. citizen, national, or lawfully present immigrant to be eligible for coverage under the Affordable Care Act.
- Residency: You need to be a resident of the state where you’re applying for coverage. Each state may have specific residency requirements.
- Income: Your household income must fall within a certain range to qualify for premium tax credits (subsidies) that can help lower your monthly insurance premiums. The specific income thresholds depend on your household size and the federal poverty level.
- Employer-Sponsored Insurance: If you have access to affordable health insurance through your employer, you might not qualify for subsidies through the Health Insurance Marketplace (Exchange).
- Medicaid Expansion: The ACA also expanded Medicaid eligibility in participating states. If your state expanded Medicaid, you may be eligible if your income is within a certain range.
- Other Coverage: You cannot be currently incarcerated, and you generally cannot be enrolled in Medicare, Medicaid, or certain other types of health coverage.
Qualifications or eligibility criteria for the Affordable Care Act
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