Most Minnesotans qualify for financial help. You may qualify for tax credits or low-cost or free plan. The amount of financial help is based on a sliding scale, so the lower your income, the higher the amount of assistance.
To get a quick estimate for the financial help for which you may qualify, see these income guidelines.
No. MNsure remains the only place where consumers can qualify for financial help either through a federal tax credit or cost-sharing reductions or the MinnesotaCare and Medical Assistance programs to help pay the cost for their health insurance plan.
Beginning November 1, consumers who are eligible to purchase insurance from a private, or commercial, health insurer can log on to MNsure.org and create an account to begin the process for the first time. People who are already enrolled in a MNsure plan will receive information about how to renew their coverage through MNsure.
If you believe you may qualify for one of the state's public programs, MinnesotaCare or Medical Assistance, you can log on and find out if you qualify at any time. Enrollment for MinnesotaCare and Medical Assistance is open year-round.
Only on MNsure can Minnesotans compare plans from multiple health insurance companies all in one place. Minnesotans who compare plans from different health insurance companies through MNsure are often able to find comparable plans at reduced prices, as well as see all costs associated with a particular plan, such as co-pays, deductibles and out-of-pocket maximums.
You must submit an application for financial help to see if you are eligible for tax credits and what the amount will be. If you decide to shop without applying for financial help, we can only show you the full price of your premium.
Yes, you can enroll during open enrollment. However, if the employee contribution for the lowest-cost self-only plan your employer offers is less than 9.69% of your household income for the year, and if the coverage meets the minimum value standard set by the Affordable Care Act, you will not qualify for a tax credit.
You cannot drop coverage and choose a MNsure plan outside of open enrollment unless you qualify for a special enrollment period with a qualifying life event.
It's your choice. We anticipate that most people will choose to receive the tax credit monthly. The monthly option works this way:
This is sometimes known as APTC, "advance payments of the premium tax credit" or premium tax credit. You qualify for APTC depending on your household size and income. These tax credits can be used to lower monthly premium costs. If you qualify, you may choose how much advance credit payment to apply to your premiums each month, up to a maximum amount.
See more about tax credits.
MNsure determines qualifications based on the household modified adjusted gross income (MAGI). For most taxpayers, MAGI is the same as adjusted gross income (AGI) which can be found on Line 4 on a Form 1040EZ, Line 21 on a Form 1040A, or Line 37 on a Form 1040.
Taxpayers who receive non-taxable Social Security benefits, earn income living abroad or earn tax-exempt interest should add back that income to AGI to calculate MAGI.
Medical Assistance eligibility is determined excluding the following types of income: scholarships, awards, or fellowship grants used for education purposes and not for living expenses, and certain American Indian and Alaska Native income derived from distributions, payments, ownership interests, real property usage rights, and student financial assistance.
A tax credit lowers your monthly private health plan insurance premium costs. MNsure will apply the full amount available to you towards the cost of your premium unless you have indicated otherwise. The cost-sharing reductions are a discount that lowers the amount you have to pay out of pocket for deductibles, co-insurance and co-payments.
Your eligibility for a tax credit or cost-sharing reductions is based on the most recent information that you reported to MNsure. Be sure to report changes and submit any requested proof as soon as possible. If you submit information that is not truthful or accurate, your private plan coverage may be terminated and you may have to repay any payments that you are not entitled to, including advance payment of premium tax credits.
If you received advanced premium tax credits in a previous year to help pay for coverage and have not filed a tax return with IRS Form 8962 for that year, you will no longer be eligible for advanced payments of the premium tax credit or cost-sharing reductions. You should file a tax return as soon as possible, including a completed IRS Form 8962.
You should have received a Form 1095-A – Health Insurance Marketplace Statement from MNsure to help fill out Form 8962 and file your federal income tax return for any previous year in which you received tax credits. If you did not receive a copy of this form, call the MNsure Contact Center (1-855-366-7873). After you file your tax return, call the MNsure Contact Center to report that information.
No. The best way to make sure you are getting the best deal for you and your family is to visit MNsure.org during open enrollment to shop and compare plans.