Pregnant women:
If you are pregnant, the chart below will indicate the best initial place to apply for health care coverage under the Affordable Care Act. Pregnant women with household incomes of 213% of the Federal Poverty Level or less should apply through the state of Indiana at www.dfrbenefits.in.gov using the state application. Pregnant women with household incomes between 213% and 400% of the FPL may be eligible for subsidized coverage through the federal health exchange and should apply at www.Healthcare.gov using the federal application. Pregnant women with household incomes over 400% FPL may apply for coverage at www.Healthcare.gov, but may also seek coverage via the existing commercial health insurance market. For assistance call 800-318-2596.
Click on the income range in your household size to see what health care benefits you may qualify for.
Note: Pregnancy Medicaid is not considered to be "minimum essential coverage" by the Internal Revenue Service and, therefore, will not satisfy the federal government's minimum coverage requirements in order to avoid a tax penalty. Loss of pregnancy Medicaid coverage for any reason such as an increase in income, will not qualify you for a special enrollment period. Therefore, individuals may wish to obtain subsidized health coverage via the federal health exchange (www.Healthcare.gov) along with pregnancy Medicaid coverage from the State of Indiana.
Legend: Apply for Indiana's Health Coverage Programs - Apply on Exchange - Apply Exchange or Commercial Market
* Projected 2023 gross household income (not take-home pay); the incomes listed are based on the 2023 federal poverty level.