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If you are pregnant, the chart below will indicate the best initial place to apply for health care coverage under the Affordable Care Act. Pregnant women with household incomes of 213% of the Federal Poverty Level (FPL) or less should apply through the state of Indiana at www.dfrbenefits.in.gov using the state application. Pregnant women with household incomes between 213% and 400% of the FPL may be eligible for subsidized coverage through the federal health exchange and should apply at www.Healthcare.gov using the federal application. Pregnant women with household incomes over 400% FPL may apply for coverage at www.Healthcare.gov, but may also seek coverage via the existing commercial health insurance market. For assistance call 1-800-318-2596.
Click on the income range in your household size to see what health care benefits you may qualify for.
|Household Size||Family Income*|
|1||$29,759 or less||$29,759.01 - $45,960||$45,960.01 or more|
|2||$33,505 or less||$33,191.01 - $62,040||$62,040.01 or more|
|3||$42,153 or less||$41,794.01 - $78,120||$78,120.01 or more|
|4||$50,801 or less||$50,397.01 - $94,200||$94,200.01 or more|
|5||$59,448 or less||$59,000.01 - $110,280||$110,280.01 or more|
|6||$68,096 or less||$67,603.01 - $126,360||$126,360.01 or more|
|7||$76,744 or less||$76,205.01 - $142,440||$142,440.01 or more|
|8||$85,392 or less||$84,808.01 - $158,520||$158,520.01 or more|
Note: Medicaid uses the 2014 federal poverty level to determine eligibility, whereas the federal health exchange will use the 2013 federal poverty level through the end of 2014.
Note: Pregnancy Medicaid is not considered to be "minimum essential coverage" by the Internal Revenue Service and, therefore, will not satisfy the federal government's minimum coverage requirements in order to avoid a tax penalty. Loss of pregnancy Medicaid coverage for any reason such as an increase in income, will not qualify you for a special enrollment period. Therefore, individuals may wish to obtain subsidized health coverage via the federal health exchange (www.Healthcare.gov) along with pregnancy Medicaid coverage from the State of Indiana.
Legend: Apply for Indiana's Health Coverage Programs - Apply on Exchange - Apply Exchange or Commercial Market
* Projected 2014 gross household income (not take-home pay)