Med-QUEST is pleased to share this important update…
President Biden’s Executive Order that provides a Special Enrollment Period (SEP) for the Health Insurance Marketplace which begins on February 15, 2021, and continues through August 15, 2021.
This SEP on Healthcare.Gov is being offered in response to the COVID-19 public health emergency. Individuals who are submitting a new application or updating an existing application can apply for insurance coverage online through HealthCare.gov or over the phone by calling the Marketplace call center at (800) 318-2596.
The following chart provides income guidelines to applicants to determine if they should apply for federally subsidized health insurance from the federal marketplace at HealthCare.gov or no-cost coverage from the Med-QUEST Division at Medical.mybenefits.hawaii.gov.
Federal Poverty Level (FPL) for Your Household Monthly Income
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Apply for Medicaid at
Medical.mybenefits.hawaii.gov
if your monthly household income is below these amounts:
Note that there are higher limits for pregnant women and children so please be sure to apply for Medicaid to see if you are eligible for coverage
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Apply for Marketplace coverage at HealthCare.gov if your monthly household income is higher than the 138% Medicaid limit. The Marketplace offers subsidies for households whose incomes are up to 400% of the FPL.
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Household Size
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Medicaid Limit
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Marketplace Subsidy Limit
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1
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$1,689
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$4,896
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2
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$2,281
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$6,612
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3
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$2,873
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$8,328
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4
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$3,465
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$10,044
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5
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$4,058
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$11,760
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The federal marketplace enrollment system is linked to Hawai‘i’s Medicaid enrollment system. This enables applicants to find affordable health insurance, and if they are likely to be Medicaid eligible, Marketplace applications will automatically be referred to Medicaid for coverage. In Hawai‘i, the Med-QUEST Division provides education, outreach and enrollment assistance for the marketplace and partners with community organizations statewide to help with this effort.
For more information please click here to view the U.S. Department of Health and Human Services' Press Release.
