You must be Lawfully present – check this entire page for information and details of what “lawful presence” means, in the USA to get tax credits– Subsidies in Covered CA.
If you want coverage without subsidies, you can purchase direct from an Insurance Company, no extra charge for us to help you with that, with the only requirement being that you reside in CA, even if you don’t have legal status.
There is no charge for our help, when you appoint us as your agent by using the enrollment links in this website or using “find local help” in the upper right hand portion of the Covered CA Online Application.
We are not immigration attorney’s and can’t help you with that. If you have the documents, proving lawful status, we can help you get health insurance.
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How to find receipt # on green card
- Covered California Fact Sheet and Talking Points
- CA Health & Human Services Public Charge Guide 2.2020 2 pages
- HealthCare.Gov: Health Coverage for Immigrants
- National Immigration Law Center: Top 5 Things to Know About Public Charge
- Public Charge Resource Sheet
- Proposed Changes Public Charge Determination Quick Guide
- Final Rule Inadmissibility on Public Charge Grounds 8 CFR Parts 103, 212, 213, 214, 245 and 248
- Ways to get around this rule or mitigate it?
- Organizations that can help assist you
- individuals seeking an immigrant visa must prove that they will obtain health insurance coverage within 30 days of entry in the United States or be able to pay for ‘reasonably foreseeable medical costs.’ Health Affairs.org *
- Special Enrollment when it's not Open Enrollment
The complete list of “qualified” immigrants includes those listed at
and Trafficking Victims as a result of) the Victims of Trafficking and Violence Protection Act of 2000, Pub. L. No. 106–386, § 107 (Oct. 28, 2000) and the
Trafficking Victims Protection Reauthorization Act of 2003, Pub. L. No. 108–193, § 4(a)(2) (Dec. 19, 2003).
See also “Table: A Quick Guide to Immigrant Eligibility for Affordable Care Act (ACA) and Key Federal Means-tested Programs,” National Immigration Law Center, September 2015, available at: https://www.nilc.org/document.html?id=844.
See our webpage on lawful presence & public charge
- A California resident is one who is in California for other than a temporary or transitory purpose; or Domiciled in California, but outside California for a temporary or transitory purpose. (ftb.ca.gov).
- Amount of time you spend in California versus amount of time you spend outside California;
- Location of your spouse and children;
- Location of your principal residence;
- Where your driver's license was issued;
- Where your vehicles are registered;
- Where you maintain your professional licenses;
- Where you are registered to vote;
- Location of the banks where you maintain accounts;
- Location of your doctors, dentists, accountants, and attorneys;
- Location of the church, temple or mosque, professional associations, or social and country clubs of which you are a member;
- Location of your real property and investments;
- Permanence of your work assignments in California; and
- Location of your social ties.
In using these factors, it is the strength of your ties and closest connections not just the number of ties, that determines your residency (ftb.ca.gov/)
http://sanjivcpa.com to learn about various tax rules in California. Sanjiv Gupta CPA reviews rules related to residency in California.
Covered CA Certified Agent
No extra charge for complementary assistance
- Appoint us as your broker
- VIDEO on ARPA Stimulus and more Covered CA Subsidies
- Set Consultation Meeting via Phone, Skype or Zoom
- Instant Health Quotes, Subsidy Calculation & Enroll
Videos on how great agents are
Enrolling in health plans has helped people focus on their families and careers, and feel protected against unexpected medical issues.
Can an illegal immigrant buy health insurance in Covered CA?
Outside of Covered CA?
Can they get subsidies?
Bill pending for CA Covered CA to request permission from the Federal Government. This still won’t give APTC – subsidies to illegal immigrants. CA HealthLine 6.10.2016 SB 10 Covered CA SB 4 Medi-Cal See below – illegal immigrants can buy coverage now through an agent or direct from the Insurance Company.
Verify work eligibility
What you need to know – Covered CA 1 page pdf
nilc.org/lawfullypresent/ National Immigration Law Center
Western Poverty Law Center – Guide for Low Income CA to get coverage
Resources Tool Kit Rev 1.2015 includes Immigration Status, FAQ’s, Lawfully Present FAQ’s,
Here are samples of acceptable documents that Covered CA will accept as proof ♦
If you do NOT qualify, you can try an International Policy Under the Health Reform Law, you must be lawfully present to get coverage outside of Covered CA too. page 25 Specimen Evidence of Coverage or excerpt below from agents manual.
What happens if you have a severe chronic condition or major accident, you can’t qualify for Medi-Cal as you are not lawfully present, must a hospital treat you if you show up in the ER Emergency Room?
You could get deported!
Yet, when it comes time for the hospitals to discharge these patients, the same standard doesn’t apply. Though hospitals are legally obligated to find suitable places to discharge patients (for example, to their homes, rehabilitation facilities or nursing homes), their insurance status makes all the difference. After reaching the patient’s family in Mexico, and discussing issues with the Mexican consulate, the case manager began making travel arrangements to a rehabilitation hospital in Mexico. Medical air transport to another country is an expensive proposition — roughly $50,000, depending on the equipment needed and the distance to the receiving facility in the patient’s home nation. From the hospital’s point of view, it was easy to see that this large one-time expense would be worthwhile. The transfer to Mexico would put a stop to the indefinite, uncompensated costs of continued hospitalization. Further, the transfer would open up the patient’s bed to a new (and presumably insured) patient. NPR 4.9.2016 *
Some hospitals have been deporting illegal immigrants even though the U.S. government is the only authority that can perform this action. Medical repatriation is considered a human rights violation mainly because many of these hospitals act as “unauthorized immigration officers.” Medical news today 4.23.2014 * Forbes 2.26.2018 *
Links & Resources
Our page on ER’s having to treat you till your stabilized.
News report of hospital sending uninsured patient back to his country * Wikipedia *
Technical and Research Resources
Covered CA Webinar on verification of residency Proposed Regulations 5.2013 Covered CA Q & A Residency Medi-Cal Handbook
FAQ’s Kaiser Foundation kff.org/immigrants
New Obama Immigration may allow those to get Medi-Cal californiahealthline.org/2014/11/21
4 page – Immigration Status and Covered Ca hbex.coveredca.com
For purposes of this part the following definitions apply:
Creditable coverage means coverage of an individual as defined in section 2701(c)(1) of the Public Health Service Act as of March 23, 2010 and 45 CFR 146.113(a)(1).
Enrollee means an individual receiving coverage from a PCIP established under this section.
Lawfully present means
(1) A qualified alien as defined in section 431 of the Personal Responsibility and Work Opportunity Act (PRWORA) ( 8 U.S.C. 1641);
(2) An alien in nonimmigrant status who has not violated the terms of the status under which he or she was admitted or to which he or she has changed after admission;
(3) An alien who has been paroled into the United States pursuant to section 212(d)(5) of the Immigration and Nationality Act (INA) ( 8 U.S.C. 1182(d)(5)) for less than 1 year, except for an alien paroled for prosecution, for deferred inspection or pending removal proceedings;
(4) An alien who belongs to one of the following classes:
(ii) Aliens currently under Temporary Protected Status (TPS) pursuant to section 244 of the INA ( 8 U.S.C. 1254a), and pending applicants for TPS who have been granted employment authorization;
(iii) Aliens who have been granted employment authorization under 8 CFR 274a.12(c)(9), (10), (16), (18), (20), (22), or (24);
(v) Aliens currently under Deferred Enforced Departure (DED) pursuant to a decision made by the President;
(vi) Aliens currently in deferred action status;
(vii) Aliens whose visa petitions have been approved and who have a pending application for adjustment of status;
(5) A pending applicant for asylum under section 208(a) of the INA ( 8 U.S.C. 1158) or for withholding of removal under section 241(b)(3) of the INA ( 8 U.S.C. 1231) or under the Convention Against Torture who has been granted employment authorization, and such an applicant under the age of 14 who has had an application pending for at least 180 days;
(6) An alien who has been granted withholding of removal under the Convention Against Torture; or
(7) A child who has a pending application for Special Immigrant Juvenile status as described in section 101(a)(27)(J) of the INA ( 8 U.S.C. 1101(a)(27)(J)).
(8)Exception. An individual with deferred action under the Department of Homeland Security’s deferred action for childhood arrivals process, as described in the Secretary of Homeland Security’s June 15, 2012, memorandum, shall not be considered to be lawfully present with respect to any of the above categories in paragraphs (1) through (7) of this definition.
Out-of-pocket costs means the sum of the annual deductible and the other annual out-of-pocket expenses, other than for premiums, required to be paid under the program.
Pre-Existing condition exclusion has the meaning given such term in 45 CFR 144.103.
Pre-Existing Condition Insurance Plan (PCIP) means the temporary high risk health insurance pool plan (sometimes referred to as a “qualified high risk pool”) that provides coverage in a State, or combination of States, in accordance with the requirements of section 1101 of the Affordable Care Act and this part. The term “PCIP program” is generally used to describe the national program the Secretary is charged with carrying out, under which States or non-profit entities operate individual PCIPs.
Resident means an individual who has been legally domiciled in a State.
State refers each of the 50 States and the District of Columbia.
(A)resides in the same household as a parent who has been battered or subjected to extreme cruelty in the United States by that parent’s spouse or by a member of the spouse’s family residing in the same household as the parent and the spouse consented or acquiesced to such battery or cruelty, but only if (in the opinion of the agency providing such benefits) there is a substantial connection between such battery or cruelty and the need for the benefits to be provided; and
 So in original. The semicolon probably should be a comma.