If you or someone in your household is either not or is no longer eligible for Medicaid coverage through the Idaho Department of Health and Welfare, you may be eligible to enroll in a health plan through Your Health Idaho. It is also the only place Idahoans can apply for and receive a tax credit, which acts like an instant discount on your monthly premiums, and other cost sharing reductions that help pay for out-of-pocket costs like co-pays and prescriptions.

Here are the two situations under which you may be eligible:

1. You have been covered by Protected Medicaid during all or part of the pandemic, but you no longer qualify.

In December 2022, Congress passed an omnibus spending bill which separated the Medicaid Continuous Coverage requirement, also known as Protected Medicaid, from the Public Health Emergency. This ends the federal requirement for Protected Medicaid coverage effective April 1, 2023.

Beginning February 1, 2023, the Idaho Department of Health and Welfare started re-evaluating Idahoans who have been covered by Protected Medicaid. Idahoans who are found ineligible for Medicaid, but may be eligible for a tax credit, will be referred to Your Health Idaho.

We are encouraging consumers who are referred to Your Health Idaho to enroll in a plan before their Medicaid coverage end date to avoid a gap in their health insurance coverage. If a consumer does not enroll prior to their end date, they will have 60 days from the date their Medicaid coverage ends to enroll in a health insurance plan through a Special Enrollment Period (SEP) with Your Health Idaho.

2. You recently applied for Medicaid coverage and were found to be ineligible.

If you do not qualify for Medicaid coverage but have a Qualifying Life Event (QLE), like getting married or loss of other coverage, you may be eligible to enroll in health insurance and receive a tax credit through Your Health Idaho. A 60-day Special Enrollment Period (SEP) begins on the date of your QLE.

If you don’t qualify for a tax credit, you can still compare the pricing and benefits of more than one hundred health plans side-by-side and purchase the coverage that best fits your budget and lifestyle.

If you don’t qualify for a tax credit, you can still compare the pricing and benefits of all our health plans side-by-side and purchase the coverage that best fits your budget and lifestyle.

Learn more about the benefits of enrolling in a Your Health Idaho health insurance plan by visiting our About YHI page. If you have questions, contact our Customer Support Center by vising our Contact Us page.