Georgia Navigator Practice Exam

In states that did not expand Medicaid, who may be eligible for marketplace subsidies?

1. Individuals with household MAGI below 100% of the federal poverty level

2. Those with household MAGI within a specified percentage range of the federal poverty level

3. All uninsured individuals

4. Only those employed full-time

The correct answer is: Those with household MAGI within a specified percentage range of the federal poverty level

The correct answer is that those with household MAGI within a specified percentage range of the federal poverty level may be eligible for marketplace subsidies in states that did not expand Medicaid. In states that have chosen not to expand Medicaid, individuals with a household Modified Adjusted Gross Income (MAGI) between 100% and 400% of the federal poverty level are eligible for premium tax credits to help lower the cost of health insurance purchased through the Health Insurance Marketplace. This means that subsidies are specifically designed for those who fall within this income range to make healthcare more affordable, while individuals with MAGI below the poverty level typically do not qualify for these subsidies unless they live in a state that has expanded Medicaid. The other options represent groups who do not fit the criteria for marketplace subsidies under current regulations. Individuals with household MAGI below 100% of the federal poverty level generally qualify for Medicaid in states that have expanded the program, and therefore would not be eligible for marketplace subsidies. Additionally, all uninsured individuals do not automatically qualify for these subsidies, as eligibility is determined by specific income thresholds. Employment status, such as being employed full-time, also does not impact subsidy eligibility; what matters is the income level in relation to the federal poverty line.