Health insurance below the Medicaid line and above it
How to think about coverage when your income is low but variable.
If your household income might drop under the Medicaid line during the year, apply through Healthcare.gov — the system routes you to Medicaid if you qualify, and to a subsidized Marketplace plan if you don't. You don't have to guess which one you fit.
For Marketplace plans, silver-tier plans often carry cost-sharing reductions that lower deductibles and copays for households under 250% of the poverty line — usually a better deal than a slightly cheaper bronze plan.
