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Español HealthCare4ChildCare Tool for DC Resident Employees What is this? Advice & Explanations

Tour Video

Share the link below with other employees at your company.

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This link is unique and will allow other employees to use the SHOP Plan Match tool with the employer information (effective date, contribution amounts, reference plan, etc.) pre-set. You should only share this link with other employees at your company. The information will not be accurate for employees at other companies.
Step 1 - Tell us about yourself

Tell us about yourself

Who needs coverage? You? You and your family? After you tell us, find out if you qualify for Medicaid or lower monthly premiums in less than 5 minutes.


  • An error occurred during the API call
  • You must fill the Age field for all persons
  • You indicated that you'll be age 65 or older when coverage begins. Learn more about Medicare coverage and enroll.
  • Your household number cannot be lower than the number of people covered
  • You must specify your household income
Person
Age when coverage begins:
In general, would you say the health of this person is:
(optional) What is this?
Expected Medical Procedures:
(optional) What is this?
Pregnant woman? What is this?
American Indian or Alaskan Native? What is this?
Delete Person
Person {{person.id}}
Remove Person

You indicated that you'll be age 65 or older when coverage begins. Learn more about Medicare coverage and enroll.

Most people who are 65 or older are eligible for Medicare and will not buy insurance coverage through DC Health Link. If this person will receive health coverage through Medicare, you should remove them from this family profile while using this tool.

This list is limited to 11 participants.


Add Another Person / Add members of your household such as your spouse or children under the age of 26 who need coverage.

Important: Are you sure you want to select NO? You'll only see plans displayed with the full price premium amount. The premiums are what you'll pay.
You won’t learn if you qualify for Healthy DC Plan, lower monthly premiums or lower out-of-pocket costs, or for free coverage through Medicaid.

Select YES to find out if you qualify.

How many people are in your household? What is this?

(Include your spouse (if you have one) plus all dependents shown on your federal tax return (even if they don't need coverage).)

What is your household expected income in 2026? What is this?

(Include wages, salary, self-employment income, interest and dividends received, alimony received, Social Security payments received, other income.)

$
Calculator GET YOUR ESTIMATED SAVINGS
Loading your subsidy Calculating your subsidy

You must specify your household income.

There was an error calculating your advanced premium tax credits.

Coverage through Healthy DC Plan

The following people qualify to enroll in coverage through Healthy DC Plan:

  • {{person.replace("Person","Person").replace("Age","Age")}}

This is our estimate. To confirm that you qualify, you must complete an application on DC Health Link.

Likely ineligible for lower monthly premiums or Medicaid

We estimate that the following member(s) of your household may not be eligible for lower monthly premiums or lower out-of-pocket costs available through DC Health Link:

  • {{person.replace("Person","Person").replace("Age","Age")}}

Important —Effects of employer coverage: This estimate assumes that your household may not be eligible for lower monthly premiums or lower out-of-pocket costs because you indicated that employer-sponsored coverage is available to everyone in your household. However, if the employer-sponsored coverage is considered expensive by government standards, or doesn't include some government-required benefits, you may still qualify for lower monthly premiums. If you want to compare what your cost for plans might be if you apply for and are determined eligible for lower monthly premiums or lower out-of-pocket costs, click here.

Important — Effects of employer coverage: This estimate assumes that member(s) of your household are eligible for financial assistance because the employer coverage available to everyone in your household is considered expensive by government standards, or doesn't include some government-required benefits. If you want to compare what your cost for plans would be if you're NOT eligible for financial assistance click here.

This is our estimate. To confirm that you qualify, you must complete an application on DC Health Link.

Coverage through Medicaid:

The following member(s) of your household are not eligible for HealthCare4ChildCare coverage, but may be eligible for free coverage through Medicaid:

  • {{person.replace("Person","Person").replace("Age","Age")}}

People eligible for Medicaid can apply anytime and will learn more about their healthcare options if their application is approved.

This is our estimate. To confirm that you qualify for Medicaid, you must submit an application through District Direct.

HealthCare4ChildCare coverage

The following people qualify to enroll in coverage with a $0 premium when they choose to enroll into a essential gold plan:

  • {{person.replace("Person","Person").replace("Age","Age")}}

Ineligible for lower monthly premiums or Medicaid

Based on the information you provided, we estimate that your household is not eligible for lower monthly premiums or Medicaid available through DC Health Link.

Lower out-of-pocket costs

We estimate that the following members of your household may be eligible for cost-sharing.

  • {{person.replace("Person","Person").replace("Age","Age")}}

Cost-sharing reductions reduce your out-of-pocket costs for deductibles, copayments and coinsurance if you enroll in a Silver level plan. When you compare plans, you'll see that Silver plans have lower out-of-pocket costs.


This is our estimate. To get an official determination, you must submit an application through DC Health Link.

Select 'Continue' to see all plans available and compare features, benefits and costs.

Lower monthly premiums for health insurance

We estimate that you can get a lower premium. Your monthly premium reduction may be:

{{subsidyAmount}} per month

You can use this amount to pay for coverage for:

  • {{person.replace("Person","Person").replace("Age","Age")}}

We estimate that the following members of your household aren't eligible for financial assistance through DC Health Link:

Lower out-of-pocket costs

We estimate that the following members of your household may be eligible for cost-sharing.

  • {{person.replace("Person","Person").replace("Age","Age")}}

Cost-sharing reductions reduce your out-of-pocket costs for deductibles, copayments and coinsurance if you enroll in a Silver level plan. When you compare plans, you'll see that Silver plans have lower out-of-pocket costs.

Lower out-of-pocket costs

Those who are eligible for lower monthly premiums may also be eligible for lower out-of-pocket costs. Lower out-of-pocket costs reduce the amount you pay for deductibles, copayments and coinsurance if you enroll in a silver level plan. When you compare plans, you'll see that silver plans have lower out-of-pocket costs.

Native American Alaskan Native

You indicated that member(s) of your household are of Native American or Alaskan Native descent. American Indians and Alaskan Natives may be eligible for important health coverage benefits, savings and protections through DC Health Link. The CHECKBOOK tool can make some of these calculations, but the results you see may not reflect the full benefits that may be available to you. To confirm your eligibility, you must submit an application through DC Health Link.

Likely ineligible for lower monthly premiums or Medicaid

We estimate that the following member(s) of your household may not be eligible for lower monthly premiums or lower out-of-pocket costs available through DC Health Link:

  • {{person.replace("Person","Person").replace("Age","Age")}}

Important —Effects of employer coverage: This estimate assumes that your household may not be eligible for lower monthly premiums or lower out-of-pocket costs because you indicated that employer-sponsored coverage is available to everyone in your household. However, if the employer-sponsored coverage is considered expensive by government standards, or doesn't include some government-required benefits, you may still qualify for lower monthly premiums. If you want to compare what your cost for plans might be if you apply for and are determined eligible for lower monthly premiums or lower out-of-pocket costs, click here.

Important — Effects of employer coverage: This estimate assumes that member(s) of your household are eligible for financial assistance because the employer coverage available to everyone in your household is considered expensive by government standards, or doesn't include some government-required benefits. If you want to compare what your cost for plans would be if you're NOT eligible for financial assistance click here.


This is our estimate. To confirm that you qualify, you must complete an application on DC Health Link.

This is our estimate. To get an official determination, you must submit an application through DC Health Link.

Select 'Continue' to see all plans available and compare features, benefits and costs.

CONTINUE
CONTINUE
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