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What Counts as Income When You’re Enrolling in Health Insurance?

April 20, 2020

Figuring out what sources of income to include in applications for Medicaid and Marketplace coverage can be confusing and overwhelming. For the most part, most taxable and nontaxable sources of income are counted when deciding Medicaid eligibility and financial savings for the Marketplace. However, there are a few exceptions.  Read more below.

What Counts as Income In General:

Examples of most sources of income that are counted, and not counted, toward Medicaid eligibility and financial assistance for the Marketplace are listed below:

What Types of Income Count Toward Medicaid Eligibility?

Income Counted in Medicaid EligibilityIncome Not Counted in Medicaid Eligibility
- Job/Wages
- Cash income
- Tips or Commission
- Rental Income
- Business or Self Employment Income
- Unemployment Benefits
- Withdrawals from a 401k or IRA-Interest, Dividends, and Investment Income
- Alimony
- Pension or Retirement Income
- Social Security Disability Income (SSDI)
- Social Security Retirement or Survivor Benefits
- Short Term of Long Term Disability Insurance Payments
- Supplemental Security Income (SSI)
- Worker's Compensation
- Child Support
- Social Security (only if it is being received by a dependent who is a child)
- Veterans' Disability Payments
- Foster Care Payments
- Inheritances
- Loans
- Gifts
- Military Allowances
- Scholarships
- Temporary Assistance for needy Families (TANF)
- $600 Weekly Pandemic Unemployment Compensation
- CARES Act Stimulus Payments

 

What Types of Income Count Toward Eligibility for Marketplace Financial Savings?

Income Counted in Marketplace Financial Savings EligibilityIncome Not Counted in Marketplace Financial Savings Eligibility
- Job/Wages
- Cash income
- Tips or Commission
- Rental and Royalty income
- Self Employment Income
- Unemployment Benefits
- Withdrawals from a 401k or IRA-Interest, Dividends, and Investment Income
- Alimony (if before Jan 1)
- Pension or Retirement Income
- Social Security Disability Income (SSDI)
- Social Security Retirement or Survivor Benefits
- Foreign Income
- $600 Weekly Pandemic Unemployment Compensation
- Supplemental Security Income (SSI)
- Worker's Compensation
- Child Support
- Veterans' Disability Payments
- Gifts
- CARES Act Stimulus Payments

 

If you need more assistance, contact our helpline at 877-570-3642.