Submit One of the Following Documents
Then, send us one of the following documents:
- Letter or statement from a Medicaid or FAMIS agency that shows that you or your family members aren’t enrolled in or eligible for Medicaid or FAMIS.
- Letter or statement from a Medicaid agency showing that you or a family member are enrolled in a Medicaid program that’s not considered qualifying health coverage.
You can find more detailed information about Medicaid programs that don’t provide qualifying coverage. If you send document(s) verifying enrollment in one of these programs, you may be able to continue receiving financial help for your Marketplace coverage:
- Medicaid coverage only for pregnancy-related services
- Medicaid coverage only for family planning services
- Medicaid coverage only for tuberculosis coverage
- Medicaid coverage only for emergency treatment
- Medicaid Demonstration Projects that cover a limited range of benefits
- Medicaid coverage for “medically needy” individuals whose income is too high for traditional Medicaid and covers a limited range of benefits (sometimes known as “Share of Cost” or “Spend Down” programs)
Alternative Documentation
You may also send a letter describing your recent health coverage that includes:
- The name of the Medicaid/FAMIS program you were enrolled in and when your coverage ended, or
- A statement that you were never enrolled in Medicaid/FAMIS coverage, or
- The name of the Medicaid/FAMIS program with limited benefits that you’re enrolled in that would still allow you to enroll in the Marketplace with help paying for coverage.