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Marketplace Coverage vs. Medicaid & CHIP

Compare the general purpose of Marketplace plans, Medicaid, and CHIP, with official links.

Medicaid and the Children's Health Insurance Program (CHIP) are joint federal-state programs that provide free or low-cost health coverage to eligible people. Marketplace plans are private health insurance plans sold through a federal or state-based Marketplace. These programs have different eligibility rules, costs, and enrollment processes.

Why the difference matters

Eligibility for Medicaid or CHIP can depend on state rules, household circumstances, income, and other factors. Marketplace financial assistance also depends on applicable rules and whether someone has access to certain other coverage. A person should not assume that one program is always cheaper or available based only on a broad income description.

Where to check

When you apply through the Marketplace, the information you provide may be used to determine whether you may qualify for Medicaid or CHIP or for a Marketplace plan. Visit HealthCare.gov Medicaid and CHIP guidance and your state's official program for current rules.

Do not end existing coverage until you understand whether a new application has been approved and when any new coverage will take effect.

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