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Understanding Immigration Status Requirements to Qualify for Health Insurance Through the Marketplace

  • Writer: Carlos Sosa
    Carlos Sosa
  • Nov 26, 2024
  • 3 min read

Navigating the U.S. healthcare system can be a complex journey, particularly for non-citizens. However, the Health Insurance Marketplace, a cornerstone of the Affordable Care Act (ACA), aims to provide avenues for affordable and comprehensive coverage. In this article, we’ll delineate the immigration statuses that qualify you for health insurance through the Marketplace and underscore recent updates, such as the inclusion of Deferred Action for Childhood Arrivals (DACA) recipients. Let’s simplify the eligibility landscape so you can make informed, confident decisions about your healthcare.


Lawfully Present Immigrants: Who Qualifies?


The term "lawfully present" includes a wide range of immigration statuses, making it possible for many non-citizens to secure health insurance coverage through the Health Insurance Marketplace. Here are the key categories:


1. Lawful Permanent Residents (LPR/Green Card Holder)

These are individuals who have been granted the right to reside permanently in the United States. If you hold a Green Card, you’re eligible to apply for health insurance through the Marketplace.


2. Asylees and Refugees

Individuals who have been granted asylum and those who are recognized as refugees fall under the lawfully present category. Asylees have been granted protection within the U.S., while refugees are those who have been resettled here after facing persecution abroad.


3. Cuban/Haitian Entrants

This includes individuals who are granted parole status as Cuban or Haitian entrants. These individuals are also recognized as lawfully present and hence, eligible.


4. Individuals on Various Visas

  • Work Visas (E, H1B, H-2A, H-2B, I, K, L, O, P, R, and TN)

  • Student Visas (F-1, J-1) Holders of these visas are considered lawfully present and can thus access health insurance through the Marketplace.


5. Temporary Protected Status (TPS) Holders

TPS is granted to individuals from countries experiencing severe conditions such as ongoing armed conflict or environmental disasters. TPS holders are eligible to apply for health insurance through the Marketplace.


6. Individuals with Deferred Enforced Departure (DED)

DED provides a temporary stay of removal for certain individuals who are at risk of deportation. If you fall into this category, you qualify as lawfully present.


7. Violence Against Women Act (VAWA) Self-Petitioners

Individuals eligible for relief under VAWA can apply for health insurance through the Marketplace. This act allows for protections and resources to immigrant women who have faced abuse.


Recent Update: Deferred Action for Childhood Arrivals (DACA)

The most notable recent update involves Deferred Action for Childhood Arrivals (DACA) recipients. As of November 1, 2021, individuals under the DACA program are now eligible to purchase health insurance through the Health Insurance Marketplace. This inclusion marks a significant shift, providing crucial healthcare access to many who were previously excluded.


Documentation Required

To verify your status as lawfully present, you’ll need to provide appropriate documentation when applying for health insurance through the Marketplace. This may include:

  • Green Cards

  • Passport with a valid visa

  • Employment Authorization Card

  • I-94 forms, and other relevant documents


Conclusion

Understanding whether your immigration status qualifies you for health insurance through the Health Insurance Marketplace is pivotal for ensuring you can access the coverage you need. The term "lawfully present" encompasses a broad and inclusive range of statuses, and recent updates have expanded eligibility further to include DACA recipients.


Navigating the intricate details of eligibility can be overwhelming, but you don’t have to do it alone. Doctor Insurance One Agency is here to help. Our experienced agents can assist you in verifying your status, gathering the necessary documentation, and guiding you through the application process. Let us be your ally in securing the healthcare you deserve. Contact Doctor Insurance One Agency today to start your journey towards quality, affordable health insurance.

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