Don’t Qualify for Medicaid? 3 Alternatives to Medicaid

Here is What to Do If You Can’t Afford a Health Insurance

Health insurance is extremely important. It helps to ensure prompt and proper emergency medical services and also proves beneficial for undergoing otherwise expensive healthcare treatments at an affordable cost.

There are several federal-subsidized health insurance packages for US citizens and one can even buy health insurance cover from private insurance companies.

Medicaid is a jointly funded federal and state health insurance program that offers coverage for eligible low-income individuals and families. The criteria for Medicaid qualification differ from state to state.

Despite coming from a low-income household, there are several reasons why an individual may still not qualify for Medicaid. Some of the reasons a person may not qualify for Medicaid benefits are:

  • Having a higher income
  • Failing to report changes in family status, such as getting married or divorced
  • Receiving significant inheritance
  • Moving to a state with different eligible income limits

If you’ve had your Medicaid benefits revoked due to any of the above-given reasons, then don’t feel down because you still have several viable options to get affordable health insurance coverage.

3 Alternatives to Medicaid and other insurance programs

Here are some of the best alternate choices for health insurance for those who do not qualify for Medicaid and other subsidized health insurance policies.

Best Alternatives to Medicaid and other insurance programs

Alternatives to Medicaid- Best Alternatives to Medicaid and other insurance programs

Affordable Care Act (ACA) Subsidized Plans

If you do not qualify for Medicaid anymore, then a Special Enrollment Period (SEP) becomes available to you.

Under the SEP, you can enroll in health insurance through the Affordable Care Act (also known as Obamacare).

The SEP offers a 2-month (60 days) window within which you can enroll in a health insurance plan without having to wait for the Open Enrollment Period.

Once this window closes, you will not be able to enroll in healthcare insurance until the next enrollment period is announced.

If you are aware of when your Medicaid coverage is likely to end, you need to sign up for ACA in advance.

Affordable Care Act Discounts for Low and Moderate Income

Everyone knows health insurance is expensive, especially the monthly premiums that need to be paid.

However, there are ways you can reduce the premiums to more affordable rates. You may be eligible for a subsidy for ACA coverage, depending on your income level.

Eligible individuals may receive significant subsidies that reduce their monthly insurance premiums, based on a sliding scale of income.

However, there are situations where you may not qualify for Medicaid and also be ineligible for this subsidy because of higher income levels.

Twelve states have not expanded Medicaid as depicted under the Affordable Care Act, which has left tens of thousands of residents vulnerable without health insurance just because they fall in the small gap between Medicaid and ACA subsidies.

Even if you do not qualify for Medicaid, you should find out if you might receive a discount on health insurance premiums from the federal government, irrespective of the price tag on their health insurance policy premiums.

Short-term Health Coverage post-Medicaid

Unexpectedly, losing health insurance coverage can be difficult for you and your family.

If you lose Medicaid coverage and need to replace it, you can choose a short-term health insurance option.

Short-term health insurance policies are temporary health insurance. They are not included in the minimum essential requirements for Obamacare.

The federal penalty for not having health insurance was removed in 2019, though some states may impose penalties.

Short-term health insurance plans often do not cover the full cost of emergency medical treatments and may have significant out-of-pocket costs.

They also cover the cost of visits to see your primary care physician and even specialists if advised by the physician.

On the other hand, if you have pre-existing health conditions before buying short-term insurance, then some of these conditions are not covered.

For instance, if you suffer from diabetes, asthma and arthritis before buying short-term insurance, then the policy does not cover treatments for the same.


Losing health insurance is definitely worrisome, especially if you are covered by subsidized health insurance such as Medicaid.

However, there’s no need to worry anymore about the alternatives given above.

See Also

Best Options for Medical Insurance for Kids

Grants for Medicine

Lap Band Surgery Cost Without Insurance

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NRMP Match

Current Version
July 29, 2021
Written By
Shubham Grover
April 16, 2024
Updated By
Andrea Morales G.

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