Get your health coverage questions answered.
Medicaid redetermination is the regular eligibility review that each state’s Medicaid agency conducts to determine whether beneficiaries still qualify for Medicaid or Children’s Health Insurance Program (CHIP) coverage. The Families First Coronavirus Response Act that protected families from disenrollment ended on April 1, 2023.
During redetermination, you may need to provide updated information. If you no longer qualify for Medicaid based on current eligibility requirements, you may lose your Medicaid coverage. You still have options if you lose your Medicaid coverage. A Florida Blue agent can walk you through affordable health plan options and see if you’re eligible for financial help.
If you’ve lost Medicaid, an exclusive Florida Blue agent can help you explore the types of health plan options available, see if you’re eligible for an Affordable Care Act (ACA) health plan through the Health Insurance Marketplace, and find out if you qualify for financial assistance to help lower your monthly plan payments.
Talk to an agent today about your options.
If you have lost or are losing your Medicaid or other health coverage soon, you can still enroll in a health plan through the Marketplace. Those eligible will then have 60 days after they submit their application to select a Marketplace plan.
Florida Blue offers a range of affordable health plan options with low-cost monthly payments,1 if you qualify. A dedicated Florida Blue agent can take you through your options, explain how the Health Insurance Marketplace differs from Medicaid, and help you find a plan to fit your needs and budget.
While income requirements for subsidies, also known as tax credits, have changed due to the American Rescue Plan expiring at the end of 2025, many will still qualify for financial assistance. An exclusive Florida Blue agent can answer your questions and check if you qualify for financial help.
Subsidies, also known as tax credits, are a form of federal financial assistance, and help make health coverage more affordable for individuals and families by lowering monthly premiums and out-of-pocket expenses. To be eligible for a subsidy, you must meet specific criteria such as a certain household income based on the household size, or number of people covered.
The subsidies for health plans sold on the Health Insurance Marketplace have not entirely gone away. They have gone back to the way they were calculated pre-2021.
Take the stress out of enrollment. With some planning and a Florida Blue agent’s support, you’ll be covered in no time.
- File your 2024 taxes: Make sure you’ve filed your taxes and reconciled your tax credit using IRS Form 8962. This is required to get a tax credit starting in January 2026.
- Update your eligibility information: You’ll need to provide proof of your current income, such as a paystub, W-2, or 1040.
- Gather required documents: You’ll need to provide documents that show your:
- Household income
- Immigration status
- Citizenship confirmation
- Adoption, foster care placement, or court order confirmation (if applicable)
- Get personalized guidance: Work with a Florida Blue agent to get the help you need based on your individual situation.
1To be eligible for a lower monthly cost, you must receive a Marketplace monthly advance premium tax credit that will assist in lowering the monthly payments.
2Many Florida Blue plans cover annual wellness checkups, including covered vaccinations, lab work, and screenings, for a $0 copay. During your checkup, if you need medical tests or treatments, prescriptions, or a referral, you may have a cost share. When scheduling your checkup with a new doctor for the first time, ask if you need a new patient visit before your checkup. If so, you may have a cost share for the new patient visit.
3Reward amounts available for individual ACA members 18 years or older. Reward amounts will apply to premiums and excess amounts may be redeemed subject to the reward program's terms and conditions.
4Blue365® offers access to savings on items that Florida Blue members may purchase directly from independent vendors. Blue365 does not include items covered under your policies with Florida Blue or any applicable federal health care program. Blue Cross and Blue Shield Association (BCBSA) and Florida Blue may receive payments from Blue365 vendors. Neither BCBSA nor Florida Blue recommends, endorses, warrants or guarantees any specific Blue365 vendor or item. For more information about Blue365, go to FloridaBlue.com/disclaimer/blue365.
Policies have limitations and exclusions. The amount of benefits provided depends upon the plan selected and the premium may vary with the amount of benefits selected.
Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. HMO coverage is offered by Health Options, Inc., DBA Florida Blue HMO. Both companies are Independent Licensees of the Blue Cross and Blue Shield Association.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. You may access the Nondiscrimination and Accessibility notice here.
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