Many social services use family income as part of their eligibility determination. Generally, for social services, agencies and organizations use the Federal Poverty Level or FPL, as a guideline. The FPL usually increases every year (but not always). Each agency can decide when and if they will adopt the new year’s released FPL.
SC Healthy Connections Medicaid and Healthcare.gov use different year’s FPL to evaluate eligibility. Luckily, most of us don’t have to memorize these tables. Rather, the application software used to submit applications directly to SC Healthy Connections Medicaid (apply.scdhhs.gov) and the Health Insurance Marketplace (HealthCare.gov) allow families to simply enter their taxable income information and the system will determine your potential eligibility for both Medicaid and the Marketplace.
You can click here to see an income chart that includes information for the three SC Healthy Connections Medicaid programs that affect most families with children under 19 in our state. The chart also includes three columns with information that pertains only to health insurance plans sold in the Federally-Facilitated Marketplace at HealthCare.gov.
The quickest way to apply for health coverage is using the online application, but both websites also operate toll-free call centers that allow you to complete an application by phone — SC Healthy Connections Medicaid: 1-888-549-0820 or HealthCare.gov: 1-800-318-2596.
Additionally, Palmetto Project has a staff of certified enrollment specialists aroudn the state to provide free, confidential, local in-person assistance to help you apply for the state’s free and low-cost health coverage for children and their families, and also for health coverage offered under the Affordable Care Act. To schedule an appointment for in-person assistance, you can click here or call 1-888-998-4646.