Medicaid Expansion

In November 2018, Idaho voters passed Proposition Two to expand Medicaid and provide coverage to individuals with an annual household income up to 138% of the Federal Poverty Level (FPL).

Prior to Medicaid expansion, eligible individuals with an annual household income between 100-400% of the Federal Poverty Level (FPL) could enroll with Your Health Idaho and receive the Advance Premium Tax Credit (APTC) to help reduce the cost of monthly insurance premiums.

As of January 1, 2020:

  • Eligible Idahoans with an annual household income up to 138% of FPL will be enrolled in Medicaid.
  • Eligible Idahoans with an annual household income of 139-400% of FPL can enroll through Your Health Idaho and receive APTC to lower their monthly insurance premiums.
  • Eligible Idahoans with an annual household income greater than 400% of FPL can enroll in a plan from Your Health Idaho, but cannot receive APTC or other cost savings.

Medicaid and tax credit eligibility are determined by the Idaho Department of Health and Welfare. For more information, visit the department website and Medicaid expansion web page.

Frequently Asked Questions

The enrollment period for expanded Medicaid starts November 1, 2019.
Coverage begins January 1, 2020.

Medicaid eligibility is determined by the Idaho Department of Health and Welfare. For more information about eligibility requirements, please visit the Department of Health and Welfare website.

Complete the application for Health Coverage Assistance with the Idaho Department of Health and Welfare. Once the application is complete, you will know if you, or members of your household, are eligible for Medicaid, CHIP, APTC, or other cost saving programs.

Idaho Medicaid offers low-cost or free health insurance coverage to Idahoans with limited income. Your Health Idaho is the state insurance exchange where Idahoans can shop and compare plans and receive financial assistance if they qualify. Health plans available through both Medicaid and Your Health Idaho must cover a similar set of Essential Health Benefits.

If you currently have coverage through Your Health Idaho, and your income falls between 0-138% of FPL, you will be enrolled in Medicaid as of January 1, 2020. You will receive notice of the change from the Idaho Department of Health and Welfare prior to January.

If you currently have coverage through Your Health Idaho and your income is above 138% of FPL, your coverage will not be affected and will be automatically renewed for 2020.

Yes. You can decline Medicaid coverage and enroll with Your Health Idaho. However, you will not be eligible for any type of cost savings and will be expected to pay your full monthly premium, deductible, and any co-pays.

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