I was recently asked this question . . .
If a child under age 26 is able to get coverage under a parent’s policy, can they get a lower cost plan with Marketplace insurance based on income if they apply themselves?
Answer: It depends on whether the child is a dependent in the parent’s tax household.
If the under-26 child is claimed as a dependent in the parent’s tax household - and if they have access to a parent’s job-based coverage – they are not eligible for lower costs on a Marketplace plan. This is because they have access to job-based coverage.
If the child files taxes themselves, they may be eligible for lower costs on a Marketplace plan based on their income. This is true even if they have access to a parent’s job-based coverage.
But if the child is enrolled in a parent’s job-based coverage, they are not eligible for lower costs on a Marketplace plan.
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