What is health insurance?
Health insurance, or medical insurance, is a contract between you and a health insurer. It covers some or all of your healthcare costs in exchange for a monthly payment. The monthly cost of the insurance you pay is called the premium.
Having health insurance can be referred to as being covered or being insured. Health insurance can protect you from having to pay large medical bills. It is often better to pay the premium every month than suddenly get a huge bill from a hospital.
Health insurance plans typically pay for the following services:
- Medical visits and screenings
- Labs, imaging, and immunizations
- Mental health services
- Urgent care and emergency services
- Prescription drugs
Health insurance companies offer multiple plans for different premiums. Each plan has specific coverage and conditions for a set monthly premium. Some health insurance providers also pay for vision and dental care.
Often, the insurance company does not pay for all of the expenses. You might have to pay a deductible when you get care. A deductible is an amount you have to pay before your insurance starts paying for your healthcare.
You may also have to make co-payments for certain medical services and prescriptions. Each plan also specifies which doctors and healthcare facilities you can visit.
Your rights
- You have the right to get healthcare no matter your immigration status or ability to pay, even if you do not have health insurance.
- If you apply for health insurance, your personal information, including immigration status, is supposed to be kept private.
- You do not need a Social Security number to apply for health insurance.
- Learn more about your healthcare rights with the NILC.
How do I get health insurance?
In the United States, you can get health insurance through:
- government (public health) insurance programs
- your job, with help from your employer
- private health insurance that you buy yourself
Government health insurance programs
Government health insurance programs offer help to people who can’t afford health insurance or who meet certain requirements. It is offered by the federal or state government. It can also be called a public health program.
Medicaid and Children’s Health Insurance Program (CHIP)
Full-scope Medicaid provides free or low-cost health insurance to older adults, people with disabilities, children, pregnant women, and families with low incomes.
“Emergency” Medicaid pays for emergency services, including being in the hospital. Emergency Medicaid is available for immigrants who are not considered qualified non-citizens but meet all income and state residency rules. Undocumented immigrants and other immigrants not eligible for full-scope Medicaid can apply.
Children’s Health Insurance Program (CHIP) provides free or low-cost health coverage for children and pregnant women. This is for families that earn too much money to qualify for Medicaid.
Note: Medicaid and CHIP are likely to be called something different in your state.
Eligibility: Qualified non-citizens, lawfully residing children, and pregnant women in many states. Wait periods can vary based on when you entered. Children who receive foster care do not have to wait.
Refugees, asylees, survivors of domestic violence and trafficking, and parolees are currently eligible for Medicaid and CHIP, but will not be eligible starting October 2026. Pregnant women and children will still qualify in some states.
How to apply: Fill out an application with your state Medicaid or CHIP agency, or contact them for eligibility information and how to apply.
Medicare
Medicare inatoa bima ya afya ya bila malipo au ya bei nafuu kwa watu wazima wenye umri wa miaka 65 au zaidi na watu wenye ulemavu na magonjwa makubwa.
Eligibility: Lawfully present immigrants are eligible for Medicare based on certain work history or residency requirements.
Refugees, asylees, survivors of domestic violence and trafficking, and parolees will not be newly eligible for Medicare. If you are currently enrolled, you will lose access starting January 4, 2027.
Jinsi ya kuomba: Jaza ombi la mtandaoni la Medicare. Unaweza kujiandikisha kwenye Medicare unapojiunga na ruzuku za Hifadhi ya Jamii au unapostaafu. Piga simu kwenye namba ya Medicare kwa 1-800-633-4227 ili kupata msaada katika lugha yako.
Mpango Maalum wa Lishe ya Ziada kwa Wanawake, Watoto Wachanga na Watoto Wadogo(WIC)
WIC inasaidia wanawake wajawazito na wanaonyonyesha pamoja na watoto walio chini ya miaka 5 kupata chakula, ushauri wa lishe, na kuelekezwa kwenye huduma za kijamii. Lazima ukidhi vigezo fulani vya mapato na afya ili kustahiki.
Eligibility: People can get WIC regardless of their immigration status in every state except Idaho. In Idaho, only qualified non-citizens are eligible.
Jinsi ya kuomba: Wasiliana na shirika la WIC la jimbo lako au eneo lako kwa maelezo kuhusu jinsi ya kuomba.
Medicare, CHIP, and WIC do not count toward public charge. Medicaid only counts if it is for long-term care in a nursing home or similar facility. Learn more about the public charge rule.
Private health insurance
The majority of Americans have private health insurance coverage. Over half of the people living in the USA have private health insurance through their job. People who do not have employment-based insurance can buy health insurance directly from an insurance provider.
Workplace health insurance
Jobs that offer health insurance pay a large part of the costs of health insurance. The employee pays a part of the health insurance costs. Some offer different health plans. Employees can also choose to include their spouse and children in their health insurance plans at an extra cost.
In some circumstances, when you leave your job, you can extend your coverage through a government plan called COBRA. COBRA is available for teams with 20 or more employees and lasts only for a short period of time. You may have to pay the whole premium by yourself.
Health Insurance (ACA) Marketplace
The Health Insurance Marketplace is a government program that allows you to buy private health insurance. You may qualify for lower costs on monthly premiums and savings on out-of-pocket costs based on your income.
Eligibility: Lawfully present immigrants are eligible to apply.
- DACA recipients will no longer be eligible starting August 25, 2025, and coverage ends for enrolled recipients on October 1, 2025.
- Lawfully present immigrants who earn less than the federal poverty level cannot apply for the ACA starting December 31, 2025.
- Refugees, asylees, survivors of domestic violence and trafficking, parolees, and TPS holders are currently eligible for ACA health insurance, but will not be eligible starting December 31, 2026.
Jinsi ya kutuma maombi: Jaza fomu ya maombi na Soko la Bima ya Afya.
Open Enrollment
Health Insurance Marketplace Open Enrollment runs from November 1 to January 15 every year. During this time, you can enroll in a new plan, renew your current plan, or make changes to your health insurance.
- Enroll or renew by December 15 for your coverage to start on January 1.
- If you enroll or renew after December 15, your coverage starts February 1.
- After January 15, you can only enroll or make changes if you qualify for a Special Enrollment Period due to life changes like losing coverage, moving, getting married, or having a baby.
- If you are currently enrolled and do not renew or cancel, you may be automatically re-enrolled using your existing information.
- Note: Medicaid and CHIP applications are open year-round.
Health insurance companies
You can also buy health insurance directly from health insurance companies in your state. You have the right to buy health insurance regardless of your immigration status.
College medical insurance plans
Students can buy healthcare insurance through their colleges. You may have to be enrolled in a certain number of credits to apply for health insurance through your school. Contact your health center to find out what your options are.
Alternatives to insurance
If you do not have health insurance, there are health centers and clinics that offer free or low-cost medical care.
Pata msaada wa kisheria, madarasa ya Kiingereza, kliniki za afya, msaada wa nyumba, na zaidi. Tafuta ramani ya eneo lako na orodha ya huduma kwa wahamiaji nchini Marekani na programu ya FindHello.
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