Immigration Status
Immigration status and the Marketplace
You need an eligible immigration status before you can purchase health insurance through the Marketplace. Without the proper immigration status you can still purchase insurance but not at the Marketplace and without any financial help.
► Most "qualified" or "lawfully present" immigrants can buy Marketplace coverage without a waiting period and may be eligible for subsidies. But a five-year waiting period applies to Medicaid and CHIP.
Statuses that qualify to use the Marketplace
Lawful Permanent Resident (LPR/Green Card holder)
Asylee
Refugee
Cuban/Haitian Entrant
Paroled into the U.S. for at least one year
Conditional Entrant Granted before 1980
Battered Spouse, Child and Parent
Victim of Trafficking and his/her Spouse, Child, Sibling or Parent
Granted Withholding of Deportation or Withholding of Removal, under the immigration laws or under the Convention against Torture (CAT)
Individual with Non-immigrant Status, includes worker visas (such as H1, H-2A, H-2B), student visas, U-visa, T-visa, and other visas, and citizens of Micronesia, the Marshall Islands, and Palau
Temporary Protected Status (TPS)
Deferred Enforced Departure (DED)
• Deferred Action Status - Deferred Action for Childhood Arrivals (DACA) was not an eligible immigration status for applying for health insurance. However, the Biden administration changed the HHS rule and from Nov. 1, 2024 it allowed DACA individuals to apply for ACA health plans.
► DACA update - the Trump administration changed the HHS rule back so that DACA individuals will no longer be eligible to enroll in ACA health plans. This new HHS rule took effect on August 25, 2025.
Lawful Temporary Resident
Administrative order staying removal issued by the Department of Homeland Security
Member of a federally-recognized Indian tribe or American Indian Born in Canada
Resident of American Samoa
Additional statuses that qualify to use the Marketplace
Temporary Protected Status with Employment Authorization
Special Immigrant Juvenile Status
Victim of Trafficking Visa
Adjustment to LPR Status
Asylum*
Withholding of Deportation, or Withholding of Removal, under the immigration laws or under the Convention against Torture (CAT) (see note below)
► *Applicants for asylum are eligible for Marketplace coverage only if they’ve been granted employment authorization or are under the age of 14 and have had an application pending for at least 180 days.
Statuses with employment authorization that qualify for the Marketplace
Registry Applicants
Applicant for Temporary Protected Status
Order of Supervision
Applicant for Cancellation of Removal or Suspension of Deportation
Applicant for Legalization under Immigration Reform and Control Act (IRCA)
Legalization under the LIFE Act
Important — Information about immigration status will be used only to determine eligibility for coverage and not for immigration enforcement.
Documents needed for a Marketplace application.
Source: HealthCare.gov, CMS, HHS