Can’t Afford Health Insurance And Don’t Qualify For Medicaid

Find out what to do if you cannot afford health insurance and don't even qualify for Medicaid.

Not being able to afford health insurance or qualify for Medicaid can be pretty stressful. Have you found yourself hanging in the middle of such a situation? On the off chance that you don’t meet all requirements for Medicaid, and additionally can’t bear the cost of Obamacare, congratulations, you have found yourself in the same boat as a huge number of Americans.

With or without an individual order that expects you to buy medical coverage, you realize that you and your family definitely should have protection assurance. In addition to this, you need it to secure your money related wellbeing and your financial plan against the significant expenses of clinical consideration—both ordinary medical care and sudden mishaps and sicknesses.

Yet, there are reasonable medical coverage designs that might be exactly what you require for your family and your financial plan. If you want to know about what you can do if you don’t qualify for Medicaid or cannot afford health insurance, then you have come to the right place. We have gathered all relevant information to help you understand everything that you must do. So, what are you waiting for? Without much further aso, let us jump right in!

How do I get health insurance if I can’t afford it?

If you cannot get health insurance, do not worry as there are some affordable healthcare options for you out there. You will have to look through some various options to see which one works best for you. Here are some affordable healthcare options for you:

Short term health insurance

Short term or temporary medical coverage is accessible outside of the marketplace, and you don’t need to meet any salary rules to qualify. These plans give a restricted arrangement of advantages for a particular time allotment. Otherwise known as temporary or limited duration health plans, short term medical coverage doesn’t consider least fundamental inclusion, so it isn’t limited by ACA guidelines to incorporate specific medical advantages. Rather, short term  safety net providers can choose which sorts of administrations their arrangements will cover.

Short term health insurance plans normally center around medical clinic visits, surgeries, excursions to the trauma center and other significant wellbeing needs, yet they may bar inclusion for preventive consideration, physician endorsed drugs or psychological wellness administrations. Despite the fact that this restricted inclusion can be a downside on the off chance that you have explicit wellbeing needs, it can likewise be a positive thing. Covering just particular sorts of care permits safety net providers to keep momentary protection charges low.

Safety net providers set explicit wellbeing rules for their short term wellbeing plans. Dissimilar to ACA significant clinical protection, you can be turned down for a limited duration arrangement dependent on your clinical history. Regardless of whether you are acknowledged for this kind of wellbeing inclusion, any prior conditions that you have will presumably be avoided from your strategy. Confining inclusion just to the individuals who are moderately solid is another way that temporary safety net providers hold expenses under control.

Catastrophic coverage

Catastrophic wellbeing plans are a simple type of inclusion that you can purchase through the medical care commercial center, however just a few people are qualified. To fit the bill for catastrophic medical care inclusion, you should be under 30 years of age, or you should meet all requirements for a hardship exclusion since all other significant clinical protection is regarded excessively costly for you.

Catastrophic protection covers similar administrations that other significant clinical protection incorporates, however these plans have amazingly high deductibles. Beside preventive consideration and a couple of visits to your essential doctor every year, you should pay the full expense of your clinical treatment until you arrive at this degree of spending. After you arrive at the deductible level, the insurance agency will pay for any extra qualified medical services going through that year.

Albeit catastrophic inclusion can be bought through the Obamacare commercial center, you can’t utilize an assessment appropriation to help pay the expenses. In the event that you fit the bill for appropriations, you might be in an ideal situation purchasing a standard medical coverage plan that requires lower cash based commitments toward your doctor’s visit expenses.

Go off-exchange

You may locate a more reasonable choice by paying off-trade legitimately from a protection intermediary or protection supplier. That is particularly evident this year. After the Trump organization cut off financing for endowments that insurance agencies must compensate to help low-pay customers bear the cost of protection, a few safety net providers supported charges the most on plans they are needed to sponsor on the ACA trades. Accordingly, plans auctions off-trade with a similar inclusion might be less expensive.

Join a group

You might have the option to purchase a more affordable gathering plan through an expert affiliation, exchange gathering, or other enrollment association, for example, a graduated class gathering. You will be pooled in with different individuals from the association, so your expenses might be lower dependent on a gathering rate.

How do you get health insurance if you don’t qualify for Medicaid?

Every state has different criterias to find out who qualifies for Medicaid. You may be qualified for Medicaid if:

  • You’re handicapped.
  • You as of now get Supplemental Security Income (SSI).
  • You don’t get a lot of income during a year.

In the event that your state has expanded Medicaid under the Affordable Care Act, at that point you’re qualified if:

  • You’re single, don’t have kids, and earn under $17,609 every year.
  • You have a family consisting of three members and you earn under $29,974 per year.

In the event that your state has not expanded Medicaid, at that point the modified adjusted gross income of your family will justify whether you are qualified or not. The modified adjusted gross income is your taxable pay, in addition to specific allowances. However, qualification levels differ as per your state and different variables, including whether you are pregnant, or whether you have a family or not are also taken into consideration, and that’s only the tip of the iceberg. The qualification criteria/level to apply for Medicaid is lower in states that have not expanded Medicaid as compared to other states.

On the off chance that you are one of the individuals who are not eligible for Medicaid, you may definitely realize that this is an extreme position to be in. You are trapped in the center. You don’t fit the bill for Obamacare exchange tax credits and you don’t meet all requirements for Medicaid. In spite of the fact that it may not bode well, those in this inclusion gap should either stay uninsured or address full cost with no sponsorship on the off chance that they go for the Obamacare coverage. Fortunately, you would be happy to know that there are solutions to all these issues and that too outside of Obamacare. There are many different health insurance options that you may qualify for, for example, short term health insurance, catastrophic health insurance, hardship exemptions, faith-based insurance, and a lot more. However, out of all the options available, short term health insurance is the best choice.

Short term medical coverage is an answer that numerous individuals are utilizing to fill this gap. They may utilize it for a couple of months or for an all-inclusive timeframe. It permits them to have true serenity and cheap health care coverage inclusion for themselves and their families. These protection plans have a lot of lower charges than wellbeing plans on the Obamacare protection trade.

Moreover, short term health care coverage for people who don’t meet all requirements for Medicaid is a decent arrangement on the grounds that these protection plans permit you to utilize any clinical suppliers, as opposed to being restricted to those in a particular organization. A few organizations do not offer many selections of specialists and clinics.

Can you legally not have health insurance?

To answer this question, yes you can legally remain uninsured. There is no government punishment for being uninsured, however it is still better to have inclusion! As of Jan. 1, 2019, all penalties for not having medical coverage have been dropped. You won’t have to meet all requirements for an exception to not take care of a punishment when you make good on your government charges.

The ACA’s government singular order punishment has been $0 since the beginning of 2019, and this has remained the same even in 2020. Individuals who are uninsured won’t face punishment, except if they’re in a state that has its own individual rules and a penalty for not having any health insurance. Four states and DC force charge punishments for not having medical coverage:

  • Massachusetts
  • New Jersey
  • California
  • Rhode Island
  • District of Columbia

Although there is no penalty for being uninsured, it is still advised that people have some sort of health coverage. Healthcare costs in America are constantly rising. Therefore, it is better to have an insurance plan that keeps you covered in times of need. If you unfortunately have to go to the hospital for an emergency, need to have a surgery, or face a severe accident, you will end up in the hospital. You do not want to be handed a hospital bill of worth thousands of dollars now, do you? Therefore, having health insurance will provide coverage in dire situations and you won’t have to worry about huge hospital bills.

Middle class can’t afford health insurance

The Affordable Care Act (ACA) has stretched out wellbeing inclusion to more than 20 million individuals and has brought down the expense of inclusion or care for millions more. In any case, a successive analysis of the law is that it has not done what’s needed to make inclusion moderate for center pay singular market shoppers. The answer for this issue is clear. Expanding or disposing of the salary top on the ACA’s exceptional tax breaks would guarantee that practically all purchasers have inclusion alternatives that cost under 10% of their earnings.

I can’t afford health insurance anymore

Not having health insurance is pretty stressful. In case you’re facing some trouble to get by and make ends meet, you might be enticed to go without medical coverage. While it may not appear to be beneficial to pay a month to month medical coverage expense when you can’t take care of your personal tabs, abandoning health care coverage can be awful for your wellbeing and your funds.

This is on the grounds that health related crises can occur at any age, and when they do, they can be especially costly in the event that you need to pay yourself. As an uninsured individual, you may wind up owing a ton of cash for quite a while. Thus, it’s critical to set up an arrangement for paying clinical costs that doesn’t burn up all available resources. If you cannot afford health insurance any more, there are some tips you can follow to save up some cash. After all remember that your health should be your number one priority, so you have to save up some money for an insurance policy.

The following tips to save money for paying for medical services will assist you with reconsidering the conviction that you can’t bear the cost of medical coverage and embrace an arrangement that suits your spending plan. So, let us look at some of these tips:

  • Go for high deductible plans
  • Go for short term insurance
  • Make sure that you come up with a suitable payment plan with your doctor
  • Look for in-network providers
  • Shop around and research different options to see which one is the most affordable.

I need health insurance but I have no income

In case you’re jobless and have no income you might have the option to get a reasonable medical coverage plan through the Marketplace, with investment funds from your savings account and family unit size. You may likewise fit the bill for nothing or ease inclusion through Medicaid or the Children’s Health Insurance Program (CHIP).


If you can’t afford health insurance and don’t qualify for Medicaid either, then do not stress out. There are still other more affordable options for you out there. Getting a short term health insurance will be the best choice for you in such a situation. In addition to this, you can also look for different payment plans, or even catastrophic health insurance. Whatever you choose, just make sure that you do your research and look at all the options to find out which one works best for you.

Sandra Johnson

Sandra Johnson

Sandra Johnson was a few years out of school and took a job as a life insurance agent in California, selling coverage door-to-door for Prudential. The experience taught her about the technical components of insurance and its benefits for individuals and society, as well as the misunderstandings people often have about insurance. She has over ten years’ experience in the insurance industry, having worked as both a Broker and Underwriter, assisting clients across a broad range of industries. At Insurance Noon, Sarah diligently gathers all the required information and curates up pieces to provide meaningful insurance solutions. Her personal value proposition is to demonstrate a genuine interest in always adding value for clients.Her determined approach to guiding clients has turned her into a platinum adviser to multiple insurers.

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