TABLE 6.4 Premium Subsidy Structure for State-Subsidized Insurance Programs

State

Program

<100% FPL

<100-200 FPL %

200-300% FPL

300% + FPL

CA

AIM

Not eligible

Not eligible

Partial subsidy

Not eligible

CO

Child Health Plan

Partial subsidy

Partial subsidy/Not eligible as income nears 200% FPL

Not eligible

Not eligible

DE

Diamond State Health Plan

Full subsidy

Not eligible

Not eligible

Not eligible

FL

Florida Healthy Kids

Partial subsidy

Partial subsidy/ No subsidy as income nears 200% FPL

No subsidy

No subsidy

HI

Hawaii QUEST

Full subsidy

No subsidy

No subsidy

Not eligible

MA

MSP-Direct Coverage

Full subsidy

Full subsidy

Not eligible

Not eligible

MA

MSP-Premium Assistance

Partial subsidy

Partial subsidy

Partial subsidy

Partial subsidy

MA

Children's MSP

Full subsidy

Full subsidy

Partial subsidy

Partial subsidy

MN

Minnesota Care (Families)

Partial subsidy

Partial subsidy

Partial subsidy/Not eligible as income nears 300% FPL

Not eligible

MN

Minnesota Care (Adults)

Partial subsidy

Partial subsidy/Not eligible as income nears 200% FPL

Not eligible

Not eligible

NJ

Health Access

Partial subsidy

Partial subsidy

Partial subsidy/Not eligible as income nears 300% FPL

Not eligible

NY

Child Health Plus

Full subsidy

Full subsidy/Partial subsidy as income nears 200% FPL

No subsidy

No subsidy

NY

Regional Pilot Projects

Partial subsidy

Partial subsidy

Not eligible

Not eligible

OR

Oregon Health Plan

Partial subsidy

Not eligible

Not eligible

Not eligible

PA

Children's Health Insurance Program

Full subsidy

Full subsidy/Not eligible as income nears 200% FPL

Not eligible

Not eligible

TN

Tenn Care

Full subsidy

Partial subsidy

Partial subsidy

Partial subsidy

VT

Health Access Plan

Full subsidy/Partial subsidy as income nears 50%

Not eligible

Not eligible

Not eligible

WA

Basic Health Plan

Partial subsidy

Partial subsidy

No subsidy

No subsidy

NOTE: FPL = federal poverty level.

SOURCE: Gauthier and Schrodel, 1997, Table 6.



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