Health Care Coverage Options for Military Veterans Under 65
Military veterans that are enrolled in either TRICARE or a Veterans’ Affairs (VA) Healthcare Program are in compliance with the Affordable Care Act (ACA), and do not have to make any changes to their health insurance coverage. If you are not covered through TRICARE or the VA, federal law requires you to enroll in a qualified health insurance plan or pay a penalty.
LIST OF VETERANS’ PROGRAMS THAT MEET ACA GUIDELINES:
1) Veterans Health Care Program
2) VA Civilian Health and Medical Program (CHAMPVA)
3) Spina Bifida Health Care Benefits Program
- If you are enrolled in, or a beneficiary of, any of the aforementioned programs: you’re considered to have Minimum Essential Coverage under the ACA and do not need additional coverage.
IF ARE NOT ENROLLED IN A VETERANS’ PROGRAM:
You are able to enroll into a health insurance plan, either directly through the insurance company, or the Marketplace. The most efficient way to sign up is by directly contacting your local insurance agency, and scheduling an appointment with an agent. Your health insurance agent will be able to navigate you through the health insurance system and into the coverage that fits your needs. All agents perform this service at NO COST TO YOU.
Depending on your household size and income, you may be eligible to get lower costs on monthly premiums and out-of-pocket costs on private insurance. Or you may qualify for free or low-cost coverage through Medicaid or Children’s Health Insurance Program (CHIP).
If you neglect to enroll in a qualified ACA plan, you may be subject to a substantial penalty.
IF YOUR DEPENDENTS ARE NOT COVERED:
If you are a veteran enrolled in, or are a beneficiary of, a VA health care program, you may have dependents who are not eligible for a VA health care program. In this case, a local health insurance agent will be able to enroll them into qualified health insurance program.
Depending on household size and income, they may get lower costs on monthly premiums or out-of-pocket costs. Or they could be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP).
Like everyone else, if they do not have health insurance coverage, they may be subject to substantial penalty fees.
IMPORTANT: TRICARE’s young adult coverage rules are different from the ACA’s version… Eligibility ages, benefits, and other details differ; you will need to confer with a TRICARE representative who is able to provide you the detailed set of procedures.