Health Insurance Marketplace
Open Enrollment is now over, but you still may qualify for a Special Enrollment Period.
Have you recently got married? Have you had a baby? Did you lose health insurance coverage because of a change in your employment status? These are just a few reasons you may qualify for a Special Enrollment Period. Our Certified Application Counselors located at Community Healthcare Center and the Wichita Falls Family Health Center are here to provide you free and unbiased assistance and enrollment with the Health Insurance Marketplace.
To be eligible for the health coverage through the Marketplace, you:
- Must live in the United States
- Must be a U.S. citizen or national (or be lawfully present)
- Cannot be incarcerated
A measure of income level issued annually by the Department of Health and Human Services. Federal poverty levels (FPL) are used to determine your eligibility for certain programs and benefits.
| Household Size | 100% | 133% | 150% | 200% | 250% | 300% | 400% |
| 1 | $12,060 | $16,040 | $18,090 | $24,120 | $30,150 | $36,180 | $48,240 |
| 2 | 16,240 | 21,599 | 24,360 | 32,480 | 40,600 | 48,720 | 64,960 |
| 3 | 20,420 | 27,159 | 30,630 | 40,840 | 51,050 | 61,260 | 81,680 |
| 4 | 24,600 | 32,718 | 36,900 | 49,200 | 61,500 | 73,800 | 98,400 |
| 5 | 28,780 | 38,277 | 43,170 | 57,560 | 71,950 | 86,340 | 115,120 |
| 6 | 32,960 | 43,837 | 49,440 | 65,920 | 82,400 | 98,880 | 131,840 |
| 7 | 37,140 | 49,396 | 55,710 | 74,280 | 92,850 | 111,420 | 148,560 |
| 8 | 41,320 | 54,956 | 61,980 | 82,640 | 103,300 | 123,960 | 165,280 |
At 100% poverty level you can start to receive subsidies to lower premium costs and lower cost sharing. Income below poverty will most likely not receive subsidies.
400% is the maximum amount of income a family can have before they no longer qualify for subsidies. If a family makes more than 400% FPL, they can still enroll in Health Insurance Marketplace. But not eligible for tax subsides.
If you have other health coverage: Medicare Part A, B or C, Medicaid,CHIP, any job-based plan, and individual health plan, COBRA, retiree coverage, TRICARE, VA, or some other kind of health coverage you may not be eligible for subsidies.
HOW CAN I GET FREE IN-PERSON UNBIASED ASSISTANCE & ENROLLMENT?
Certified Application Counselors are available to offer FREE in-person assistance. A bilingual (Spanish speaking) Certified Application Counselor is also available by appointment. To schedule an appointment with our Rhea or Karina at Community Healthcare Center, please give them a call at (940) 766-6306, or to schedule an appointment with Kimberlie, please call her at (940)767-8334. You can also reach them all by email by clicking on their name Rhea, Karina or Kimberlie.
Certified Application Counselors offices are located at:
Community Healthcare Center
200 Martin Luther King Jr. Blvd
Wichita Falls, Texas 76301
You can also apply online with the Health Insurance Marketplace at healthcare.gov or by calling 1-800-318-2596.
