Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Eligibility and Redeterminations
Program Area: Enrollment and Eligibility (ENR)
Question: If there are two unmarried individuals living in the same household, does CMS count both individuals' incomes if only one needs Individual Insurance?
Answer: Unless one of the unmarried individuals is the tax dependent of the other, only the income of the person seeking insurance (and his or her tax dependents) is used to determine eligibility. If one of the unmarried individuals is claimed as a tax dependent of the other, than the income of both is used to determine eligibility.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 22, 2013
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.