I have insurance through my employer and my daughter is still covered under the plan, she is 23. She had a child on July 4, 2015. I was first told that my grandson was covered because my daughter is not married, living at home and on my insurance. This week I get a call from my company that he is not covered. I do not understand and feel that they need to cover him since they cover his mother. Does not make sense that we would need a policy for a 2 month old. Is this covered under Obamacare?


Answer

A coverage family can include any tax dependent so a grandchild can be covered, but only if the natural parent isn't living in the same household.

If the natural parent is living at home on the grandparents insurance then coverage won't extend to the grandchild.

Here is the good news. Kids, especially babies, are often covered under CHIP based on income. CHIP eligibility levels are typically pretty generous. If CHIP doesn't work then you can get a child only policy from the Marketplace.

In a case where the natural parent is not living at the house or you are trying to get private child only coverage, they must be added to the plan during special enrollment or open enrollment. There is a 60 day window to enroll a child in a plan, with coverage starting as early as the day they are born.

Learn more about special enrollment.

The child must meet certain qualifications to be covered under your health plan. If the child:

  • Is under age 26
  • Is living in a parent-child relationship with you and economically dependent upon you
  • You have legal guardianship of or formally adopted the child,

he or she may be covered under your health plan. The natural parent cannot be living in the same household as the child. If disabled, special rules apply. The dependent must be enrolled within thirty (30) days from the date of legal custody or during open enrollment. You must contact Human Resources, provide proof of custody, and complete the required documents.

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Fred on


Answer Rating:

Another stupid law that breaks up the normal family. The parent of the grandchild can not live in the house. Repeal this Insurance company scam law

Pissed on

If you are supporting the parent and grandchild, they should be covered. Dumb %#(!

Kirsti Wright on

Thank u, so working grammas income needs to be included on chips form since gramma, pop pop, non working mom and 3 yr old daughter live in same household? I guess we truly are responsible until the day we die. Young folk put the hammer down on your offspring. I wasn’t hard enough on mine. Too busy working to provide. No fancy houses, phones or vehicles here; just dead beat dad’s that can’t hold a job.

richard on

My son is 21 year old and doesn’t live with us .he and his girlfriend is expecting a baby. Can I put my grandchild on my wife insurance plan his mother?

ObamaCareFacts.com on

Kids can stay on a parents plan until 26, everyone in a coverage family must file taxes together.

Mary on

My coworker covers her 25 y/o daughter and 2 grandchildren, but they still have Medicaid. 25 y/o lives in an apartment with the 2 kids. Why isn’t that questionable? What about having to pay taxes together? There are insurance laws, really?

ObamaCareFacts.com on

Hmm, well Medicaid is based on income. Honestly we should have Medicare / Medicaid for all and get it over with. So I am less worried about someone having a safe home for children and coverage than I am about corporate greed over life saving drugs and money being shipped to tax havens. At least said coworker is putting money back in the economy when they get it. I get what you are saying though, think everyone wants to feel like they are getting a fair shake. Giving and taking too much are both “unfair” on some level.

Janice Kay Sexton on

So I am on medicare and retired with a health insurance for 65 and over and now no one can be added. Since insurance companies allow children under 26 to be on insurance why cant I add my 21 year old granddaughter that lives with me and I support to my Medicare LOL. Obamacare told her she does not qualify because she has no income. Then I called to see how much and it was still too much for me. I have bills and a budget and this was not possible and anyway the Obamacare said they had to speak to my granddaughter and my granddaughter told them she had no income and Obamacare refuse to talk to me about insurance for my granddaughter so then I called about medicaid and was told she does not qualify and if she would get pregnant she would qualify for free health care and other help. So I was basically told she needed to get pregnant…All my granddaughters friends are single and pregnant and have a baby so they can get welfare, My granddaughter is trying to find a job . Her mom has no job nor insurance and my granddaughters dad is dead. Anyway the deal now is I am claiming her as a dependent and now being penalized because she has no insurance and this is just cray because I have been supporting her and now the government is punishing me because I can not pay my granddaughter health insurance bill but I been feeding and housing and sheltering her , now tell me what is wrong with all this….I also am paying off doctor bills and I have dental work to be done plus my house needs repairs …the government keeps taking and taking and taking from us old people…..What the heck …I called and wrote the whit house but I have received no answer….

Alice C Lee on

Do not understand these insurance, why can we we put our grandchildren on our insurance, reason is the mother is trying to work and the child get hurt and has surgery and no money to spend on the medical bill. Need help please. where else can I look or answers. Why do we have insurance, when we can not use it for ourselves or someone that needs help. This is crazy.

Elizabeth on

I’m at a loss, my granddaughter has no health insurance coverage. She’s 2 years old. Her last name is the same as the fathers, not my daughters, ours. The father is not providing any support and my daughter will not file for child support. My daughter is covered under our health insurance but our 2 year old granddaughter is not and can’t be because her last name is not the same as ours.
My daughter says she makes too much money for our granddaughter to qualify for Florida Medicaid and doesn’t qualify for Floridas kid plan either. What can we do?

ObamaCareFacts.com on

You can get a short term plan. That isn’t always the cheapest option, but it is pretty much always an option.

Terry Welty on

She needs to file for support from the Father. Why should the rest of us pay for the healthcare of the child when the Father is left to skate. It might sound uncaring, but he’s responsible for his share of the child rearing expenses.

Lidia Diaz on

My daughter is 21 living with me has 2 children i have always supported my granddaughter and i have been claiming her since birth…my daughter supports her other baby why cant i put her my granddaughter on my health insurance….??????

ObamaCareFacts.com on

Whoever claims the child on their taxes can put them on their insurance for the purposes of marketplace tax credits. So, as a grandparent filing for the granddaughter you should be able to put her on your health plan and get credits. You can always contact healthcare.gov directly (or your insurer) for advice.

Holly on

What about children under grandparent’s health insurance (cause it will be cheaper) but lives in another city with parents and dad claims the kids on tax? Can that be done or would that be consider cheating the system?

Rosie Montoya on

MY grandson have lived with me and I have never put him in my dental insurance his mother does not live with me what do I need from her to be able to insure him. I claim him as my dependent in my tax papers

Erin on

As long as you claim him as a dependent than you are responsible for ensuring that he has minimal essential coverage throughout the entire your. Assuming he has medical insurance for minimal essential coverage, you may start with his current insurer and ask if they have a dental plan. You can also apply for Medicaid and/or CHIP with him as your dependent in your household depending on your household income. You can also try calling a dental provider that you plan to take your grandson too and ask what insurers they work with and ask for recommendations.

Brittany on

Im wanting to get insurance on my daughter but i cant bc im claiming her on my taxes. Would my mother, whitch is her grandmother be able to get insurance on her

LaDonna Huff on

My husband is a conductor on UP. His daughter is a single mom of a 4 and 1 1/2 yr. she isn’t working can we cover the boy on our insurance? Or something?

Bonita Canterbury on

I need health insurance on my 13 yr old grandson.

John Denune on

even though I have my granddaughter half of the time, and she is financially (somewhat) dependant on me, I am not her legal guardian, so this doesn’t help me.

Lynn Kelley on

I am very concerned that a healthy baby being born to a dependent of a dependent is not covered under the current Obama care health program. Is this information correct or is there some other way for my grandchild to be covered at birth till added on another plan. Concerned grand parent.

ObamaCareFacts.com on

In many states CHIP is an option for babies of that age. I would call the state Medicaid office and inquire about CHIP. If the child is a dependent of the grand parent, then adding them to a family plan is easier. There are options. Try calling healthcare.gov for assistance.

SHAM SUNDAR on

Is my Medicare Insurance(Senior citizen 73+) cover the Medical needs of my grand son. Thanks with best regard.

ObamaCareFacts.com on

No, Medicare only covers seniors. A child might qualify for CHIP however.