Medicaid vs. CHIP vs. Marketplace: which one applies to you
How the three main coverage paths fit together in 2026.
Medicaid covers about 80 million Americans. Eligibility depends on your state — in expansion states, most adults under 138% of the federal poverty level qualify; in non-expansion states, coverage is limited to specific groups (parents, pregnant women, people with disabilities).
CHIP picks up where Medicaid ends for kids, typically covering families up to 200–300% of the poverty level. Kids in the same household may qualify for CHIP even when parents don't qualify for Medicaid.
Above CHIP limits, ACA Marketplace subsidies bring monthly premiums down — often to zero — and can also lower deductibles and copays through cost-sharing reductions.
