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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||$25,705.68 or less||$25,705.69 - $49,434.00||$49,434.01 or more|
|2||$34,791.12 or less||$34,791.13 - $66,906.00||$66,906.01 or more|
|3||$43,876.56 or less||$43,876.57 - $84,378.00||$84,378.01 or more|
|4||$52,962.00 or less||$52,962.01 - $101,850.00||$101,850.01 or more|
|5||$62,047.44 or less||$62,047.45 - $119,322.00||$119,322.01 or more|
|6||$71,132.88 or less||$71,132.89 - $136,794.00||$136,794.01 or more|
|7||$80,218.32 or less||$80,218.33 - $154,266.00||$154,266.01 or more|
|8||$89,303.76 or less||$89,303.77 - $171.738.00||$171,738.01 or more|
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 2015 gross household income (not take-home pay)