Healthcare Assistance

Coverage and care for families who can't pay full price.

Medicaid, CHIP, ACA marketplace subsidies, and community clinics — the programs that keep American families covered and how to enroll.

  • Medicaid for low-income adults and families
  • CHIP for kids in working families
  • ACA Marketplace premium and cost-sharing subsidies
  • Federally Qualified Health Centers (FQHCs)
  • Medicare Savings Programs for seniors
  • Prescription drug assistance programs
Nurse checking a smiling child at a community clinic

Find Your Assistance Programs

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Key programs at a glance

The main programs in this category, who typically qualifies, and how to apply.

Medicaid

Who: Low-income adults, kids, pregnant women, seniors, and people with disabilities.

How: Apply through your state Medicaid agency or Healthcare.gov.

CHIP

Who: Kids in families that earn too much for Medicaid.

How: Apply through the same state portal as Medicaid.

ACA Marketplace Subsidies

Who: Households from 100% to 400%+ of the federal poverty level.

How: Enroll at Healthcare.gov during Open Enrollment or a Special Enrollment Period.

Community Health Centers (FQHCs)

Who: Anyone; fees on a sliding scale by income.

How: Search HRSA's 'Find a Health Center' tool by ZIP.

Medicare Savings Programs

Who: Medicare beneficiaries with limited income and assets.

How: Apply through your state Medicaid office.

Extra Help (LIS)

Who: Medicare beneficiaries needing help with drug costs.

How: Apply through Social Security online or in person.

The full breakdown

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.

Community health centers: your safety net for actual care

Sliding-scale primary care, dental, and mental health for anyone who walks in.

Federally Qualified Health Centers (FQHCs) serve everyone regardless of insurance status. Fees are on a sliding scale based on income, and no one is turned away for inability to pay.

They handle primary care, prenatal care, pediatrics, mental health, dental, and often free or low-cost prescriptions through 340B pricing. Search the HRSA Find-a-Health-Center tool for your nearest location.

Prescription savings when insurance won't cut it

The stacking programs that make brand-name drugs affordable.

Every major pharmaceutical company runs a Patient Assistance Program (PAP) that provides free or low-cost brand-name medications to qualifying patients. NeedyMeds.org maintains a searchable directory.

Beyond PAPs: 340B pricing at community health centers, GoodRx and similar discount cards, generic tiers on $4 lists at big-box pharmacies, and — for Medicare beneficiaries — the Extra Help program.

Frequently asked

Can I get Medicaid if I have a job?
Yes. Medicaid eligibility is based on income relative to household size, not employment status. Many working families qualify, especially in expansion states.
When can I sign up for Marketplace coverage?
Open Enrollment runs November 1 through January 15 each year. Life events — losing coverage, moving, having a baby — trigger Special Enrollment Periods anytime.
What if I earn too much for Medicaid but can't afford Marketplace plans?
In most cases, ACA subsidies scale steeply with income near the eligibility line — a plan that costs $600/mo full price may cost $10–50/mo with subsidies. Always run the numbers.
Is dental covered?
Adult dental is only covered by Medicaid in some states. FQHCs are the most reliable low-cost adult dental option. CHIP always covers dental for kids.

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