Required documents & deadlines
If you’re asked to verify or add to information you entered on your Marketplace application, you’ll get notices (letters, emails, or both) telling you which documents to submit. You may get a notice from your health insurance company too.
See what to do if you can't find your notice.
Which documents to submit
You'll need to send different documents based on what we need to verify:
Your notice also includes the list of acceptable documents to resolve your particular issues.
Your submission deadline
Your deadline to submit documents depends on the type of information you're asked to confirm:
- You’ll have at least 90 days from the date of your eligibility notice (usually the date you completed your application) to resolve the health insurance issue before your plan could end or change.
- For citizenship and immigration issues, you have 95 days.
What happens if you miss your deadline
If you don’t meet your deadline, we’ll make a new determination of the insurance and savings you’re eligible for. These results will be based on information from our data sources, not what you put on your application.
The new results may change your current insurance eligibility and costs.
- If you were found eligible for a premium tax credit: The amount could change or you may lose it entirely.
- If you were found eligible for savings on out-of-pocket costs (known as “cost-sharing reductions”): The amount could change or you may lose these savings entirely.
- If you told us someone on your application is a U.S. citizen or U.S. national, or has eligible immigration status, but don’t submit the required documents in time: Their health insurance could be terminated.
More Answers: Required documents & deadlines
FAQs
Proof of date of birth (e.g., birth certificate) Proof U.S. citizenship or lawful residence (e.g., passport, drivers license, birth certificate, green card, employment authorization card) Proof of all types of income, earned and unearned (e.g., paycheck stubs, retirement benefits, Supplemental Security Income)
What happens if I miss the healthcare.gov deadline? ›
What happens if you miss your deadline. If you don't meet your deadline, we'll make a new determination of the insurance and savings you're eligible for. These results will be based on information from our data sources, not what you put on your application.
What information is important to consider when choosing a healthcare plan? ›
These may have more benefits and the cost sharing may vary. Below are four things you should think about when choosing coverage - Costs, provider network, benefits, and quality.
What documentation is required for Medicaid in NY? ›
Proof is required to verify identity, residence, citizenship, disability (if the applicant is under 65 and is claiming to have a disability), marital status, income and resources and, in some cases, other information which may be necessary for an eligibility determination.
What documents are needed to apply for Medicare? ›
What Documents Do I Need To Apply For Medicare?
- Your Social Security Card.
- Your original birth certificate.
- Proof of U.S citizenship or legal citizenship status documentation if you were not born in the U.S.
- A copy of your W-2 form.
Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.
What's required to create the patient's health care plan? ›
A: The process of developing an individualized health care plan typically involves an initial assessment, goal setting, collaboration with healthcare professionals, and ongoing monitoring and adjustments. It requires open communication and shared decision-making between the patient and healthcare team.
What information do you need to be on a care plan? ›
What should be included in a Care Plan?
- The details of those involved in the patient's care.
- Contact details of the patient's key worker and who to contact outside of office hours.
- The arrangements for the patient's mental health care including any prescription medication or talking treatments.
These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services. Plans must offer dental coverage for children. Dental benefits for adults are optional.
What is the monthly income limit for Medicaid in NY in 2024? ›
For 2024, the income limits for both Community and Institutional Medicaid are: Married (both spouses applying): $2,351/month. Married (one spouse applying): $1,732/month for the applicant. Single: $1,732/month.
Income & Asset Limits for Eligibility
| 2024 New York Medicaid Long Term Care Eligibility for Seniors |
|---|
| Type of Medicaid | Single |
|---|
| Income Limit | Asset Limit |
| Institutional / Nursing Home Medicaid | $1,732 / month* | $31,175 |
| Medicaid Waivers / Home and Community Based Services | $1,732 / month† | $31,175 |
1 more rowMar 7, 2024
All pharmacy, physician, ambulatory care services and inpatient hospital services, not provided in a nursing home, are covered. Coverage for all Medicaid covered services/supplies. Coverage for medical services except inpatient care, institutional long term care, alternate level of care, and long term home health care.
What is the monthly income limit for Medicaid in PA? ›
Income & Asset Limits for Eligibility
| 2024 Pennsylvania Medicaid Long-Term Care Eligibility for Seniors |
|---|
| Type of Medicaid | Single |
|---|
| Income Limit | Asset Limit |
| Institutional / Nursing Home Medicaid | $2,829 / month* | $2,000‡ |
| Medicaid Waivers / Home and Community Based Services | $2,829 / month† | $2,000‡ |
1 more rowMay 31, 2024
Medicaid is for certain individuals and families with low incomes and resources. Eligibility and benefits vary considerably from State to State. Medicare insurance is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease.
Who is currently eligible for Medicaid in Texas? ›
Apply for Medicaid in Texas
You can enroll through HealthCare.gov or the state Medicaid website. You can enroll by phone at 800-318-2596. Eligibility: The aged, blind, and disabled. Also, parents with dependent children are eligible with household incomes up to 15% of FPL.
What is the income limit for Medicaid in South Carolina? ›
Income Limits
| Family Size | Monthly Income (Eff. 03/01/2024) | Annual Income (Eff. 03/01/2024) |
|---|
| 1 | $2,510.00 | $30,120.00 |
| 2 | $3,407.00 | $40,880.00 |
| 3 | $4,304.00 | $51,640.00 |
| 4 | $5,200.00 | $62,400.00 |
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