Which immigration statuses are eligible to purchase health coverage through the Health Insurance Marketplace?

• A. Temporary workers only
• B. US Citizens, US Nationals, Lawfully present immigrants.
• C. Undocumented immigrants
• D. Foreign visitors with tourist visas

Answer: (B)

Eligibility for Health Insurance Marketplace coverage is determined by immigration status and lawful presence. Citizens and US Nationals are eligible to enroll, and so are many lawfully present immigrants—such as those with green cards, visa holders, refugees, asylees, and others who are legally in the U.S. This allows them to purchase Marketplace plans and, if their income qualifies, to receive subsidies.

Undocumented immigrants and foreign visitors on tourist visas do not have lawful presence for Marketplace purposes, so they cannot enroll in Marketplace coverage or receive federal subsidies through the Marketplace. They would need to look at other options outside the Marketplace or pursue status changes to gain access to Marketplace coverage.