Source: http://texashealthcareguide.org/do-i-qualify-free-or-lower-cost-coverage
Timestamp: 2017-09-23 03:49:30
Document Index: 718013756

Matched Legal Cases: ['art 4', 'art 4', 'art 3', 'art 3', 'art 2', 'art 2', 'art 1', 'art 1']

Do I Qualify for Free or Lower-Cost Coverage? | TEXAS HEALTH CARE GUIDE
Resources to help you figure out if you might be eligible for help paying for coverage, and what to do if you’ve been denied coverage. Includes information for individuals who aren’t eligible for help paying for health coverage because of the Coverage Gap, family glitch, or due to immigration status.
If I’ve been denied
Help with eligibility denials
HHSC Ombudsman for help with Medicaid or CHIP eligibility denial
HHSC's Ombudsman office can tell you what steps to take if your Medicaid or CHIP application was denied and you think it was an error, inclduing how to make a formal appeal
Applications, Enrollment, General Help, Phone Resources, Appeal, Medicaid, CHIP, Appeal
Healthcare.gov information on how to appeal a Marketplace eligibility decision.
Healthcare.gov has detailed answers on how to appeal an eligbility decison if you think it is an error.
Applications, Enrollment, General Help, Online Resources, Appeal, Marketplace
Spanish- Healthcare.gov information on how to appeal a Marketplace eligibility decision.
Cuidadodesalud.gov tiene respuestas sobre có mo presentar apelaciones al Mercado de Seguros
Applications, Enrollment, General Help, Online Resources, Appeal, Spanish, Marketplace
Right to Public Benefits for Immigrant Populations Served by the U.S. Office of Refugee Resettlement (ORR)
Fact sheet on rights to public benefits such as Medicaid, CHIP, SNAP, TANF, and the ACA for populations Served by the U.S. Office of Refugee Resettlement (ORR). This includes Refugees, Asylees, Cuban and Haitian entrants, Special Immigrant Visa (SIV) Holders from Iraq and Afghanistan, Victims of Human Trafficking, certain Amerasians from Vietnam, and Lawful Permanent Residents who once held any of the previous statuses.
This fact sheet was created by CPPP in partnership with the YMCA of Houston.
CHIP, Marketplace, Medicaid, Obamacare, SNAP, TANF
Many social service organizations here in Texas have reported that immigrant families are canceling benefits and enrollment appointments due to fear of immigration enforcement and deportation. To help organizations serving these communities, our partners at the National Immigration Law Center (NILC) have created a fact sheet intended to clarify what has and has not changed with respect to the rules and policies that affect immigrants’ access to health, nutrition, and other critical programs. This fact sheet can be used as a resource when speaking with immigrants and immigrant families.
Health Care for Immigrants: Options and Barriers
Training Videos: Health Care Options and Barriers for Non Citizens
Our partners at the National Immigration Law Center (NILC) have created webinar trainings for enrollment assisters on immigrant access to health care assistance programs such as Medicaid, CHIP, and the Affordable Care Act. Training available in both English and Spanish. Click on "Health Care Options for Immigrants: Options and Barriers." Name and email address will be required to view.
Know Your Rights Fact Sheet for Non Citizens Interested in Applying for Health Care Assistance
Since the 2016 presidential election, questions have arisen about whether it is safe for families to apply for health coverage through the Affordable Care Act (ACA) Marketplaces, Medicaid, and CHIP (Children’s Health Insurance Program) if they include members who are not authorized to be in the U.S. Some individuals and families have even decided not to seek health care because they fear that their immigration status might be discovered or shared with immigration enforcement agents. This factsheet provides information that all families should have when they apply for and enroll in health insurance programs or seek health care services. Available in both English and Spanish.
Health Reform Beyond the Basics report on Marketplace enrollment for families that include immigrants
Non-U.S. citizens in Texas who are lawfully present may enroll in marketplace coverage, and can qualify for premium subsidies and lower out-of-pocket costs from 0-400% of the federal poverty income guidelines.
Lawfully-present non-citizen children (under age 19) can participate in Texas Medicaid and CHIP on the same terms as U.S. citizen children. But, Texas is one of just 6 states that do not cover lawfully-present non-citizen adults in Medicaid.
Enrollment, General Help, Assister Network, Immigrants, Marketplace, Assister Resources
Non-U.S. citizens in Texas who are undocumented (do not have legal status) are excluded from Medicaid, CHIP, and the Marketplace. Their options for care are much more limited.
Most federally funded public health services and many (not all) city and county programs for the uninsured in Texas do allow undocumented residents to participate. See Getting Health Care Without Insurance for more information.
Enrollment, General Help, Immigrants
Obamacare Subsidy Calculators
These tools can show you whether you can get free or low-cost care based on your income, before you sign up.
Healthcare.gov's Marketplace subsidy screener
Healthcare.gov has a tool to let you see if you qualify for savings, before you actually enroll in health coverage.
Enrollment, General Help, Premium, Out-of-Pocket Costs, Tools, Subsidy, Marketplace, Applications
Kaiser Foundation's Marketplace subsidy screener
The Kaiser Family Foundation has a tool to let you see if you qualify for savings, before you actually enroll in health coverage.
Enroll America's Marketplace subsidy screener
Enroll America has a tool to let you see if you qualify for savings, before you actually enroll in health coverage.
Who Can Get Medicaid or CHIP
Video: Medicaid and CHIP Income
Training for Medicaid and CHIP: How Income is Calculated - Part 4 of 4
Melissa McChesney, Outreach Coordinator for the the Center for Public Policy Priorities, explains eligibility and enrollment into income-based Medicaid programs and the Children’s Health Insurance Programs (CHIP) in a four-part series. Part 4 includes a description of Modified Adjusted Gross Income (MAGI) rules for Medicaid and CHIP and covers what income is included in the calculation of income.
Medicaid, CHIP, Assister Resource, Video
Video: Medicaid and CHIP Family Size
Training for Medicaid and CHIP: How Family Size is Calculated - Part 3 of 4
Melissa McChesney, Outreach Coordinator for the the Center for Public Policy Priorities, explains eligibility and enrollment into income-based Medicaid programs and the Children’s Health Insurance Programs (CHIP) in a four-part series. Part 3 includes a description of Modified Adjusted Gross Income (MAGI) rules for Medicaid and CHIP and covers how family size is determined.
Medicaid, CHIP, Assister Resources, Video
Video: Medicaid and CHIP General Eligibility
Training for Medicaid and CHIP: General Eligibility - Part 2 of 4
Melissa McChesney, Outreach Coordinator for the the Center for Public Policy Priorities, explains eligibility and enrollment into income-based Medicaid programs and the Children’s Health Insurance Programs (CHIP) in a four-part series. Part 2 covers the basic eligibility criteria for each eligibility group including age, residency, income limit, citizen/immigration status, and categorical eligibility requirements.
Video: Medicaid and CHIP Eligibility Process
Training for Medicaid and CHIP: Eligibility Process - Part 1 of 4
Melissa McChesney, Outreach Coordinator for the the Center for Public Policy Priorities, explains eligibility and enrollment into income-based Medicaid programs and the Children’s Health Insurance Programs (CHIP) in a four-part series. Part 1 covers the eligibility process from application through eligibility determination and the benefit renewal process.
Texas Medicaid and CHIP eligibility basics
CPPP Medicaid Eligibility Chart
A summary picture of who gets Medicaid and CHIP in Texas from CPPP.
Enrollment, General Help, Medicaid, CHIP, Applications
HHSC Medicaid Eligibility List with Links
This Texas HHSC page lists the kinds of people who can qualify for Medicaid and has links to more information.
HHSC Children's Medicaid and CHIP Eligibility Chart by Income and Family Size
This Texas HHSC chart shows which CHILDREN can qualify for Texas Medicaid and CHIP by income and family size.
Enrollment, General Help, Medicaid, CHIP, Children, Applications
Spanish- HHSC Children's Medicaid and CHIP Eligibility Chart by Income and Family Size
Tabla de ingresos para CHIP/Medicaid para Niños
Who Is Left Out: Coverage Gap, Family Glitch
The Coverage Gap and the Family Glitch leave some Texans without access to affordable care. Texas' state governments can fix the Coverage Gap, and Congress can fix the Family Glitch.
Coverage Gap Resources
One-pager on the Texas Coverage Gap (CPPP).
Coverage Gap: States get to choose whether or not to provide Medicaid to adults at or near poverty. Most of the states do, but Texas and 18 other states have not.
Here is a 1-page explanation of why most Texas adults at or near poverty cannot get Medicaid, and information on the many ways Texas could benefit if Medicaid started covering them. From CPPP.
General Help, Online Resources, Advocacy, Coverage Gap, Medicaid Expansion, Medicaid, Tools
National information on the Coverage Gap (Kaiser Family Foundation).
The Kaiser Family Foundation's slide show of graphics of the Coverage Gap from a national perspective (June 2015).
General Help, Online Resources, Advocacy, Coverage Gap, Medicaid Expansion, Medicaid
Map of which states have Medicaid Expansion, and which have Coverage Gap (Kaiser Family Foundation).
Kaiser Family Foundation's map showing which states cover adults and which do not (updated regularly):
Blog report with the latest facts and figures on Medicaid Expansion and the Coverage Gap in Texas.
This blog post from the Texas Well and Healthy campaign rounds up all the latest on who is affected, dollars lost, who supports a solution, and more.
Family Glitch Information
Consumers Union (the publishers of Consumer Reports) explains the Family Glitch, and a proposal to fix it.
Family Glitch: Due to a mistake in wording in the federal law, a spouse and/or children can be denied health coverage subsidies if one of the parents has a job-based health plan that covers that parent only, at a low cost. This is true even if the premium the family would pay (to add the spouse and kids) is a very high share of their family income. Congress can fix this, but they have not yet.
General Help, Online Resources, Advocacy, Job-based Insurance, Family Glitch
CPPP in Texas explains the Family Glitch.
The journal Health Affairs reports on the Family Glitch.
A news article in Huffington Post explains legislation filed to fix the Family Glitch.