The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

Will getting health insurance through Medicaid, CHIP, or health insurance Marketplaces affect an individual’s ability to obtain lawful permanent status or citizenship?

Individuals with no coverage | Navigating Health Insurance Marketplace Options |
ANSWER

Enrollment in the Marketplace, including with premium tax credits or cost-sharing reductions, is not considered for a public charge determination under current policies. Medicaid (except for institutional long-term care) and CHIP enrollment are also not considered for a public charge determination under current policies. Currently, public charge determinations still apply when someone has enrolled in certain non-health-related public assistance programs, as well as institutional long-term care at government expense. Many immigrants are exempt from a public charge determination. Please see a qualified immigration lawyer or use the Keep Your Benefits Guide (available in English, Spanish, and Chinese) to check if you may be subject to a public charge determination. The Guide is free and does not ask for any personal information.

This information is not intended to provide legal advice. If you have questions about public charge determinations or public benefit programs, please see a qualified immigration lawyer, or visit Protecting Immigrant Families for more information. If you need immigration assistance, please call the Office for New Americans at 1-800-566-7636 to be connected to free or low-cost, high-quality legal representation/counseling services.

Individuals with no coverage
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