Eligibility for Obamacare in Virginia

“What are the requirements to apply for the Affordable Care Act in Virginia?” is a question many state residents may have when reviewing affordable health options. To meet Obamacare coverage eligibility requirements under the Affordable Care Act (ACA) of 2010, applicants must meet U.S. residency and citizenship requirements. One requirement to apply for the Affordable Care Act in VA is that applicants cannot be incarcerated if the wish to take advantage of ACA, or Obamacare, requirements. Furthermore, other ACA coverage eligibility requirements pertain to claimants who wish to save money on their insurance premiums. To meet these Obamacare eligibility requirements, residents must meet certain income restrictions. “What are the Affordable Care Act income requirements?” is an important question for potential applicants to ask when reviewing the program requirements. Since ACA income requirements vary by household size, applicants generally need to apply for coverage under the federal Health Insurance Marketplace to determine whether they are eligible for premium tax credits. Those wondering how to qualify for ACA insurance and to obtain specific tax credit income limitations must obtain more information on the requirements and application process for Obamacare coverage. For additional information on who is eligible for Obamacare in Virginia, applicants can review the information below.

How to Qualify for ACA in Virginia

To meet Obamacare coverage eligibility requirements in Virginia, applicants must reside in the US and be US citizens or lawfully present residents. Additionally, claimants may qualify for ACA insurance under the federal Marketplace if they are eligible immigrants. For instance, immigrants who meet Obamacare coverage eligibility requirements include asylees, refugees, battered spouses, children or parents and more. Furthermore, immigrants may meet Obamacare eligibility requirements if they are granted the following statuses:

  • Temporary Protected Status
  • Withholding of Deportation
  • Registry Applicants
  • Applicant for Legalization under the Immigration Reform and Control Act

To qualify for Obamacare coverage as an immigrant, however, applicants must provide proof of their immigration documentation.

To learn more about who is eligible for Obamacare in VA, download our informative guide.

What are the requirements to apply for the Affordable Care Act in Virginia?

To qualify for the ACA in Virginia, an applicant must meet US residency and citizenship requirements. To qualify for the ACA premium tax credit, however, a claimant must also meet income restrictions depending on the specific size of his or her household. To be eligible for the Obamacare premium tax credit, an applicant’s estimated household earnings must not exceed ACA income restrictions. However, household income often changes whenever an applicant’s income increases or decreases, or when a claimant adds or removes new or existing household members to his or her current Marketplace application. For this reason, it is important to immediately report necessary changes to the Health Insurance Marketplace, as doing so may increase or decrease premium tax credit amounts for anyone who is eligible for Obamacare.

Some residents may wonder, “What are the Affordable Care Act income requirements in VA?” when exploring their health care options. Since ACA income requirements vary by household size, Virginia residents need to complete the application process for ACA medical coverage before they may verify their tax credit eligibility. To meet Affordable Care Act income requirements, however, annual household earnings generally need to fall within the Federal Poverty Limit (FPL) based on the specific size of the family.

Who does not meet the Virginia Obamacare coverage eligibility requirements?

To qualify for ACA insurance benefits in VA, applicants must meet US citizenship and residency requirements. If applicants do not meet these Obamacare coverage eligibility requirements, they cannot enroll in a Marketplace plan. Additionally, applicants who wish to qualify for ACA benefits cannot be incarcerated and they may not be current Medicare beneficiaries. As such, it is against the law to purchase a Marketplace plan while receiving Medicare benefits, even if patients only have coverage under Medicare Part B (Hospital Insurance) or Part A (Medical Insurance). Petitioners should get more information on Medicare eligibility in Virginia to see what types of public health options best suit their needs and the needs of their families.

Furthermore, Medicare beneficiaries cannot qualify for Obamacare coverage under the Health Insurance Marketplace since Medicare enrollment already qualifies as medical coverage under the ACA of 2010. As such, patients cannot apply for the Affordable Care Act and receive Medicare coverage at the same time. However, only Medicare Part A coverage meets health insurance requirements under the ACA. If residents do not qualify for Virginia Obamacare due to their current Medicare enrollment status, they must pay an uninsured penalty fee if they only have Medicare Part B but not Part A. Applicants must make sure to learn about eligibility requirements for Obamacare to prevent a delay in program approval or a denial of benefits.

Who does not need to enroll in Virginia Obamacare coverage?

If Virginia residents meet Obamacare coverage eligibility requirements, they may apply for medical benefits under the federal Health Insurance Marketplace to avoid paying an uninsured penalty fee during tax time, up until 2019. However, patients do not need to apply for the Affordable Care Act in Virginia if they already receive coverage under a qualifying health plan. As such, qualifying health plans include medical coverage under the U.S. Department of Veterans Affairs (VA), Medicare Part A, most Medicaid policies or an employer-sponsored plan. Additionally, U.S. citizens residing in a foreign country for at least 330 days in a one-year period do not need to apply for medical coverage during those 12 months.

To learn more about how to qualify for ACA benefits or for additional information on who does not need to apply for the Affordable Care Act in VA, download our comprehensive guide here.


Virginia Department of Social Services