Premium Assistance

Private insurance is out of reach for families who are a little over income for Medicaid due to out-of-pocket costs associated with premiums, deductibles, co-pays, and prescriptions. People who earn a dollar too much or don’t qualify due to immigration status are affected the most. Under the Affordable Care Act, health insurance was made accessible for more people but many still could not afford it. In 2014, the Premium Assistance program was launched to address this need.

The Premium Assistance clients earn below 300% of the Federal Poverty Level and qualify for a tax credit through the Federal Marketplace. The Premium Assistance program leverages the tax credits and cost-sharing reductions available to participants to pay the balance of the premiums for the medical plans they have selected through the Health Insurance Marketplace. The program pays the monthly insurance premium for participants. The program also works with participants and providers to help lower additional out-of-pocket expenses and continues to seek ways to add benefits to participants.

In 2018, the Pharmacy Bridge program and Premium Assistance program began a collaboration that can allow pharmacies to waive medication co-pays for participants. This is another way Project Access NOW leverages resources to improve the health and well-being of the community.

Update Your Health Insurance Application / Actualiza Su Aplicación de Seguro Médico

It is very important to report life changes to the Marketplace to keep your health insurance active and make sure you don’t owe money when you file taxes.

Learn more and update your health insurance application ›

Es importante que reporte cambios del hogar al Mercado para que su seguro se mantenga activo y para asegurar que usted no debe dinero cuando haga los impuestos.

Aprenda más y actualiza su aplicación de seguro médico ›

Contact Premium Assistance