How Will Legal Immigrants Fare under the Chairman’s Mark of the “America’s Healthy Future Act”? Legal immigrants: Do you, your spouse, or your parent have an employer who offers coverage?
Yes
Do you qualify for that employer’s coverage?
Congratulations! Once you start paying your share of premiums, you will likely have health coverage through your employer.
Yes
No No
Is your modified adjusted gross income less than ‡ 133% of FPL?
Did the SAVE§ system correctly verify your status?
No
Yes
Are you a “qualified” immigrant?*
Did you become qualified less than five years ago?*
Yes
No
Yes
No
Yes
Congratulations! After the application process, you will likely have health coverage through Medicaid.
No
Congratulations! No tax credit for you, but you can buy coverage at full price through the Exchange.
No access to Medicaid or employer-based coverage. Try the new Exchange!
Is your modified adjusted gross income less than 100% of ‡ FPL?
No
Yes
Are you subject to the five year bar from Medicaid?
Is your modified adjusted gross income between ‡ 100–400% of FPL?
Can you afford to buy the coverage at full price?
No
No
Yes
Yes
Did DHS¶ correctly verify your status?
No No
Yes
Yes
Did DHS¶ correctly verify your status?
No
Yes
Sorry! You are likely to be uninsured. Try to buy health coverage in the private market outside of the exchange at full price.
Congratulations! Unless you have an undocumented household member, you will have a full tax credit to help purchase coverage through the Exchange.