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You may qualify for a no or low-cost plan
When you apply for an Affordable Care Act (ACA) plan, you may qualify for a premium tax credit (sometimes called a subsidy). This can lower your monthly premium or even give you a $0 monthly premium.* So now’s the time to check out your options.
Start here to find an affordable plan
Have questions? Find helpful answers and resources.
Understanding Medicaid eligibility
Where can I find Medicaid coverage updates?
At the beginning of the COVID-19 pandemic, Medicaid agencies paused eligibility reviews so those with benefits could keep them. But starting soon, states will return to their normal eligibility reviews. This review could affect your Medicaid eligibility. You can learn more about your state’s eligibility requirements on the Medicaid website.
What is Medicaid redetermination?
This is the process that states use to ensure that Medicaid enrollees continue to be eligible for Medicaid coverage. This is also called “renewal,” “redetermination” or “recertification” review.
Here’s how it works: Your state will send you a renewal letter 45 to 30 days before your renewal date to recertify your Medicaid eligibility.
- If you complete your recertification and still qualify, you don't need to do anything else. You’ll remain a Medicaid enrollee.
- If you don’t complete your recertification by the renewal date, you will be disenrolled from Medicaid. You will need to re-apply.
- If you complete your recertification and don’t qualify, you will be disenrolled from Medicaid. You can apply for an Aetna CVS Health individual & family health plan.
I’ve heard the federal public health emergency is ending soon. Is that affecting Medicaid eligibility?
Yes. The public health emergency (sometimes called “PHE”) was announced in March 2020, when the COVID-19 pandemic began. As part of the PHE, state Medicaid agencies continued health care coverage for people enrolled in Medicaid, even if they were no longer eligible. The continuous coverage rule ended on March 31, 2023, even though the PHE is still ongoing.
Do I still get to keep my Medicaid coverage as long as the PHE continues?
The continuous coverage rule ended on March 31, 2023. So even if the PHE continues, you will need to show you’re still eligible for Medicaid. Your state will send you a renewal letter 45 to 30 days before your renewal date to recertify your Medicaid eligibility. Be sure to complete it and return it by the deadline. You can learn more about your state’s eligibility requirements on the Medicaid website.
Other health coverage is available to you
I don’t qualify for Medicaid coverage. What are my options?
You can check out Affordable Care Act (ACA) plans here, or on the Health Insurance Marketplace®. ACA plans make affordable health insurance available to individuals and families so you and your family can stay covered for less. In fact, you may be able to qualify for a $0* or low plan premium.
Want to learn more? Explore Aetna CVS Health ACA plans today.
What do Affordable Care Act (ACA) plans cover?
Every ACA health plan covers a minimum of 10 essential benefits. This includes prescription drugs, maternity and newborn care, mental health and more. Explore the full list of covered essential benefits.
What do Aetna CVS Health individual & family plans cover?
Every ACA plan includes prescription drugs, maternity and newborn care, and mental health benefits. With Aetna CVS Health ACA plans, you get even more, like the convenience of virtual care and walk-in clinics. Check out the covered benefits and services included in every Aetna CVS Health plan to help you feel your best — simply and affordably.
You can shop for a health plan today
How can I explore Aetna CVS Health ACA individual & family plans?
Open Enrollment has ended. But losing Medicaid coverage qualifies you for a Special Enrollment Period. That means you can shop for a new health plan and enroll today. To get started, enter your ZIP code to explore coverage options.
Start here to find a plan
Connect with us. We’re here to help
Talk with a licensed agent
Our trained agents are ready to help you choose the right plan for your needs.
1-844-383-6129 (TTY: 711)
Call us Monday — Friday, 8 AM to 9 PM ET.
*FOR $0 PLAN PREMIUM: Exclusions and limitations apply.
Health plans are offered or underwritten or administered by Aetna Health of California Inc., Coventry Health Plan of Florida, Inc., Aetna Health Inc. (Florida), Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.
Health benefits and health insurance plans contain exclusions and limitations.