Options d'assurance maladie du Maryland
Are you uninsured? There are a number of circumstances that may qualify you for free health insurance or a low-cost plan.
Learn about Medicaid, private health insurance (discounts available), Medicare, and dental insurance.
211 can answer health insurance questions. Dial 211 or search the database for local health insurance resources, such as a navigator who can provide free guidance for your situation.
Maryland Medicaid
Low-income families, children, pregnant women, and aged, blind, or disabled adults may qualify for Medicaid. Income qualifications change every year.
Children up to age 19 may qualify for additional benefits from the Maryland Children's Health Program.
Individuals who receive other types of public assistance are automatically offered Medicaid. These include:
- Supplemental Security Income
- Aide temporaire en espèces
- Foster Care
If you are not a U.S. citizen, Medicaid may be available during pregnancy and for four months after birth. It may also be available if you meet other requirements, like the 5-year rule.
Vous pouvez avoir une assurance maladie privée et être éligible à Medicaid.
Managed Care Organizations (MCO)
Most individuals enrolled in Medicaid receive care through a Managed Care Organization (MCO).
Le MCO couvre les dépenses de santé telles que :
- visites chez le médecin
- soins de grossesse
- médicaments sur ordonnance
- services hospitaliers et d'urgence
Private Health Insurance
If you don’t qualify for Medicaid or children’s health insurance, individuals and families can apply for private health insurance. Financial help may be available.
While many states use the federal marketplace, Maryland has its own one-stop insurance marketplace, Maryland Health Connection, that handles private insurance, Medicaid, and the Maryland Children's Health Program enrollments.
What do they cover?
These plans cover preventive care and other essential health care, such as:
- Doctor visits
- Emergency care
- Hospitalisations
- Lab tests
- Maternity and newborn care
- Mental and behavioral health care
- Soins pédiatriques
- Ordonnances
- Preventive and wellness management
- Rehabilitation
- Substance use disorder treatment
The private plans may have a deductible, coinsurance, and copayment.
Do I qualify for financial help for a private plan?
While financial help is available, the discount may be less than years past. The federal savings program is no longer in place for the Maryland marketplace insurance. Instead, Maryland is providing financial help through Maryland Premium Assistance.
You will no longer be eligible for financial help if your income is below 100% of the federal poverty level and you are not eligible for Medicaid due to your immigration status.
In those situations, the plans are still available, but at full cost.
You can get an estimate for how much these plans may cost.
How do I get help with Insurance enrollment?
If you have questions about Medicare or private insurance enrollment, free help is available in counties throughout Maryland. Navigators can answer questions in-person. They'll help you find the most savings and apply for insurance.
You can also talk to an insurance broker if you are purchasing a private policy.
How do I apply?
You can find a plan through Maryland Health Connection. Make sure you understand the costs and the coverage. Check to make sure your doctors are included in the plan you choose.
And if you need help, use the free counseling support.
Applying for Health Insurance and Medicaid
Whether you apply for Medicaid or a private health insurance plan in Maryland, all applications go through Maryland Health Connection. It's a one-stop shop.
Open Enrollment
Uninsured Marylanders can apply for coverage during open enrollment, which starts in November. Coverage starts on January 1 of the following year.
Parfois il y a périodes d'inscription spéciales that allow you to apply for coverage at any time of year. In addition, you can enroll during a qualifying life event.
Special enrollment periods include:
- Devenir inéligible à Medicaid ou MCHP
- Se marier ou divorcer
- Avoir un enfant, adopter un enfant ou placer un enfant en adoption ou en famille d'accueil
- Déménagement dans le Maryland et certains déménagements dans l'État
- Fin de la période de couverture COBRA
- Changement de citoyenneté ou de statut d'immigration
- Incarcération ou libération
- Changement de statut en tant qu'Indien d'Amérique/natif de l'Alaska
- Tomber enceinte (Remarque : vous avez 90 jours pour vous inscrire à partir du moment où la grossesse est confirmée.)
- Gagner ou perdre une personne à charge
- Certain losses of other health coverage, like insurance through your job
- Enrolled in your parents’ plan, and you turn 26 years old
COBRA
If you left a job and had medical coverage through your employer, you may be able to temporarily keep your coverage after leaving your job.
La loi COBRA (Consolidated Omnibus Budget Reconciliation Act) offre une couverture pour une période limitée si vous postulez dans les 60 jours suivant votre dernier jour de travail. Cependant, les taux peuvent augmenter par rapport à ce que vous avez payé pendant votre emploi.
Prestations d'assurance-maladie
If you are 65 years old or older, have a certain disability and are under age 65, or have End-Stage Renal Disease (ESRD), you may be eligible for Medicare.
L'inscription ouverte a lieu chaque année à des jours précis à l'automne.
Pendant l'inscription ouverte à Medicare, vous avez la possibilité de revoir votre plan, de magasiner pour une nouvelle couverture et de vous assurer que vos avantages sont les meilleurs pour l'année à venir.
Learn more about Medicare options and costs.
SHIP Can Help You Find the best plan
If you need help finding the best program for your needs, contact a State Health Insurance Assistance Program (SHIP) counselor.
They can help you understand costs and coverage, compare options, enroll or change plans, and correct billing issues.
Des conseillers formés et bénévoles sont disponibles pour fournir une assistance gratuite dans les comtés du Maryland et de la ville de Baltimore.
Trouver des ressources maintenant
Trouver ressources communautaires Pour l'alimentation, les soins de santé, le logement et plus encore, consultez notre base de données. Recherchez par code postal.
Assurance dentaire
While dental coverage is provided at no cost to children and pregnant women through Medicaid and MCHP, other uninsured individuals may need a separate dental plan from Maryland Health Connection.
En savoir plus sur les options de régime de soins dentaires from Maryland Health Connection. You can apply for benefits during open enrollment.
Free and low-cost dental clinic
If you end up without dental insurance, there are free and low-cost dental clinics throughout Maryland.
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Ordonnances
Si vous avez besoin d’aide pour remplir une ordonnance, il existe des programmes d’aide aux patients pharmaceutiques et des groupes locaux à but non lucratif qui peuvent réduire le coût des médicaments.
explorer les programmes d'assistance
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Nourriture gratuite près de chez moi, garde-manger, SNAP, WIC, économies sur les courses.
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explorer les programmes d'assistance
Renseignez-vous sur les programmes d’avantages sociaux et sur la façon d’obtenir de l’aide.
Nourriture
Nourriture gratuite près de chez moi, garde-manger, SNAP, WIC, économies sur les courses
Utilitaires
Programmes d'aide aux factures d'électricité, de gaz et d'eau
Logement
Paiements de loyer, prévention des expulsions, refuges pour sans-abri
Impôts
Free tax preparation help, software, tax credits
