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Learn About Obamacare Requirements for Seniors

What are the requirements to apply for the Affordable Care Act (ACA) as a senior citizen? Understanding how to qualify for ACA coverage can help senior citizens find quality health care options when needed. While knowing who is eligible for Obamacare tax subsidies is important for all residents, the aging population is particularly in need of affordable medical coverage. Knowing the Obamacare coverage eligibility requirements means understanding certain qualifications that must be met by each senior applying for coverage. These eligibility requirements include the age of the applicant when submitting an application, his or her income eligibility and more. Since Affordable Care Act coverage is geared toward those who are most in need, income plays an important role in determining eligibility for the program. To find out this information and more regarding qualifying for ACA as a senior citizen, continue reading the sections below.

Who qualifies for Obamacare benefits?

The basic Obamacare coverage eligibility requirements include living in the country and meeting the citizenship requirements. To qualify for ACA coverage, applicants must be U.S. citizens or nationals. Some legally present non-citizens are also eligible for coverage if they meet certain residency requirements. However, not all residents who meet the citizenship requirements will be able to apply for coverage, as applicants must not currently be incarcerated.

Obamacare coverage eligibility requirements will vary depending on the age of the applicant.

Seniors wondering how to qualify for ACA benefits will find that criteria for older residents are less restrictive than they are for younger petitioners. For instance, the income requirements are more lenient. Those older than a certain age can also learn how to enroll in Medicare benefits. Likewise, seniors with a low income may also meet the eligibility requirements for Medicaid when applying for Obamacare and receive benefits form both health care programs as dually eligible petitioners. Retirees who leave a job before the Medicare minimum age criteria and lose job-related benefits may use the ACA Insurance Marketplace to purchase affordable healthcare options.

To find out more information regarding how to qualify for ACA, download our health care guide today.

What are the requirements to apply for the Affordable Care Act as a senior?

The requirements to apply for Affordable Care Act insurance will depend on the age of the petitioner. Applicants who qualify for ACA coverage may also be eligible for other government health care programs and have their benefits automatically transition to that program. If a senior meets the minimum age requirements for Medicare or the income requirements for Medicaid, then his or her application will be transferred to the appropriate program for consideration. This can occur regardless if the elderly resident is currently working or not.

Applicants who already receive Medicare will be considered covered under the Obamacare program and will not need to do anything further. Applicants of a certain age who receive Medicare benefits will receive enhanced benefits through the Affordable Care Act. ACA benefits will enhance medical coverage allowing for more preventative care benefits including cancer screenings and annual wellness checkups. Applicants who meet the minimum age requirements and qualify for ACA benefits will also have increased health care options involving prescription drugs.

Most of the Obamacare coverage eligibility requirements are applicable to applicants younger than a certain age without other health care coverage options or those who are considered medically needy. Applicants may be able to qualify for ACA benefits if they have significant health needs, even if their income is higher than the required amount. Older applicants who are not enrolled in Medicare benefits and who have no other health care program options may be eligible to enroll in subsidies offered by the Affordable Care Act. To find out more information regarding who qualifies for Obamacare benefits, download our helpful guide today.

What are the Affordable Care Act income requirements?

What are the requirements to apply for the Affordable Care Act involving income? Income plays an important factor in Obamacare coverage eligibility requirements for cost-sharing assistance, as the purpose of the ACA is to help residents afford medical coverage. However, any resident can obtain health care coverage through the ACA regardless of earnings. Higher-earning applicants will not receive advance tax subsidies.

The Affordable Care Act income requirements are relative to the federal poverty level. ACA income requirements will also consider the size of the household. The larger the family unit the higher the poverty threshold will go. If an applicant’s total income is between 100 and 400 percent of the poverty threshold, then he or she would likely be eligible for Affordable Care Act benefits. Income will be counted for the applicant, the applicant’s spouse and anyone who he or she claims as a tax dependent on a federal return. When applicants are learning how to apply for Obamacare, they will need to include the income for everyone in the household, regardless of whether or not they are seeking health care coverage. While it may be difficult to estimate the exact income for the household, applicants should consider the adjusted gross income from the most recent federal income tax return as well as tax-exempt foreign income, tax-exempt interest, expected raises and tax-exempt Social Security benefits.

Learn How To Qualify For
Senior Health Services
With Our Help

As an independent and private company, we are proud to help our users learn about the benefit application process.

  • Get Free Information with Our Guide
  • Take our optional survey to receive, based on your answers, related offers from our partners!
  • Keep Updated with Curated Content