Coverage · Family · Familia

One household. Sometimes three statuses. One plan that works.

Un hogar. A veces tres estatus. Un plan que funciona.

Five common scenarios · Cinco escenarios comunes

Find the family that looks like yours.

Encuentre la familia que se parece a la suya.

Sc.01
Citizen kids, LPR parents
Hijos ciudadanos, padres LPR

Kids qualify for CHIP / Medicaid immediately. Parents apply for ACA together — children stay on CHIP, parents on Marketplace plan.

Sc.02
LPR couple, no children
Pareja LPR, sin hijos

Both can enroll in ACA at the same household income. Subsidy is calculated jointly — often $0/mo combined under 200% FPL.

Sc.03
Newly naturalized + foreign-born spouse
Recién naturalizado + cónyuge extranjero

Citizen spouse opens Marketplace plan with subsidies. Foreign-born spouse joins same plan once status is documented.

Sc.04
Multi-generation household
Hogar multi-generacional

Grandparents on Medicare, parents on ACA, kids on CHIP — one bilingual advisor coordinates all three.

Sc.05
One undocumented adult
Un adulto indocumentado

Undocumented adult is not eligible for ACA, but may use emergency Medicaid for labor/delivery and ERs. Rest of family enrolls normally.

Coverage map by status · Mapa de cobertura por estatus

Who in your family is eligible for what.

Quién en su familia es elegible para qué.

Household memberACA MarketplaceMedicaidCHIP
U.S. citizen childEligibleEligibleEligible
LPR adult (5+ years)Eligible w/ subsidyFull eligibility
LPR adult (under 5 yrs)Eligible w/ subsidyEmergency only
Refugee / asyleeEligible w/ subsidyDay-one eligible
Lawfully present childState-dependentDay-one in 35+ states
Undocumented adultNot eligibleEmergency only

Mixed-status families file ONE Marketplace application. Only the people requesting coverage need to share immigration info — never the rest of the household.

Las familias de estatus mixto presentan UNA sola solicitud. Solo quienes piden cobertura comparten su estatus.

At a glance · De un vistazo

Family-wide coverage, visualized.

Cobertura familiar, visualizada.

Each bar shows the share of healthcare needs typically met for that family member type when a household uses the right combination of ACA, Medicaid, and CHIP.

Preventive & primary
Hospital & ER
Maternity & pediatric
Specialist & Rx
U.S. citizen child
100%
LPR adult (5+ yrs)
95%
LPR adult (under 5 yrs)
85%
Refugee / asylee adult
97%
Lawfully present child
97%
Undocumented adult
40%