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Frequently Asked Questions (FAQs)

What types of help paying for health insurance are available through DC Health Link for individuals and families?

The District of Columbia expanded Medicaid to provide low cost or no cost coverage to individuals and families with lower incomes. If you don’t qualify for Medicaid, you’re likely eligible for an Advance Premium Tax Credit to help pay your monthly premium for private insurance if:

  • You're a single adult with income between $25,306 and $47,080
  • You're a married couple, or a family of two with combined income between $34,250 and $63,720
  • You're a family of three with total income between $44,399 and $80,360
  • You're a family of four with total income between $53,593 and $97,000

If you qualify, you’ll only pay your part of the premium. The rest will come from the federal government directly to the insurance company you choose. Some people may also qualify for cost-sharing reductions which reduce your out-of-pocket costs for deductibles, copayments, and coinsurance if you choose a Silver level plan.

DC Health Link’s Plan Match tool can estimate if you qualify for Medicaid, a tax credit or cost-sharing reductions. To confirm that you qualify for financial assistance program(s) and receive cost savings, you must submit an application through DC Health Link.

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