<p>We will count the numbers as published by Covered Ca, whatever they are. Again, they are enrolled by March 31 with a paid premium by May 1.</p>
<p>“What is far lower?” One less! If I am going to have genuflect on this thread with an abject apology, then it is going to be a straight up over/under 500,000 bet.</p>
<p>Next year, my D may be quitting her job that includes employer coverage, to go to grad school in the fall. Is she immediately eligible for Medicaid when she quits?</p>
<p>She is eligible for Medicaid if she will earn less than $11,490 for the whole year and she lives in an expansion state. If she has a yearly income greater than that, she will need to buy insurance, and if her yearly income is less than $45,960 she will be eligible for premium subsidies.</p>
<p>If she will earn less than 100% of the federal poverty level in 2015 and lives in an expansion state, she will be eligible for Medicaid starting in January 2015. 100% of the federal poverty level for 2015 will be a little more than $11,500, probably.</p>
<p>Thanks, CF. I’m going to guess that she will be in the subsidy range of income by the time she quits. So she will have to buy subsidized coverage then, even though she will no longer have any income coming in. That was what was throwing me off.</p>
<p>Let’s say that her income by the time she quits is $20K. Her maximum insurance premium would be 5.11% of $20K, which is $85/month. If her income were higher, the percentage would be higher, but she is probably not looking at huge bills.</p>
<p>If a signee doesn’t pay, then no one covered by signee’s plan has insurance. Enrollee or signee has no meaning if there is no payment for the insurance. The insurance company will cancel the plan if they don’t receive a payment. There is no other way to look at this.</p>
<p>CF.
In CA, if you are eligible for Medicaid, you cannot get a subsidy. I assume it is the same in all Medicaid expansion states. So if Medicaid eligibility is determined on a monthly income basis, won’t she be immediately eligible once she quits? And if so, she can’t get exchange coverage, right? It is confusing.</p>
<p>Bay, if the rules for Medicaid are the same as pre-ACA (which I believe they are for eligibility… expanded to groups that couldn’t get them before like your D) then yes, she should be eligible as soon as she quits. </p>