Key Facts: Alaska Health Insurance
- Medicaid Expansion Expanded (2015)
- Marketplace Type Federal (HealthCare.gov)
- Medicaid Program Denali Care
- Open Enrollment Nov 1 - Jan 15
- Uninsured Rate ~11%
Medicaid in Alaska (Denali Care)
Alaska's Medicaid expansion program is called Denali Care, administered by the Alaska Department of Health. Governor Bill Walker expanded Medicaid by executive action in September 2015 after the legislature failed to act.
Who Qualifies for Denali Care?
You may qualify for Denali Care if you meet these requirements:
- Alaska resident
- U.S. citizen or qualified immigrant
- Income at or below 138% of the Federal Poverty Level (FPL)
Income limits for 2025:
| Household Size | Annual Income Limit |
|---|---|
| 1 person | $20,783 |
| 2 people | $28,208 |
| 3 people | $35,632 |
| 4 people | $43,056 |
How to Apply for Denali Care
You can apply for Alaska Medicaid year-round through:
- Online: myAlaska portal at my.alaska.gov
- Phone: Call 1-800-780-9972
- In-person: Visit your local Division of Public Assistance office
- Mail: Download and mail an application
Alaska Native and American Indian Healthcare
Alaska Natives and American Indians have additional options:
- Indian Health Service (IHS) facilities
- Tribal health programs through Alaska Native Tribal Health Consortium
- Special enrollment periods and exemptions on the marketplace
Why Healthcare is Expensive in Alaska
Alaska consistently has the highest healthcare costs in the nation. Several factors contribute:
- Geography: Remote communities require expensive medevac services
- Population density: Low population spread across vast area limits economies of scale
- Limited competition: Only one or two insurers in the marketplace
- Provider shortages: Recruiting healthcare workers is difficult and expensive
- Transportation: Flying supplies and specialists to rural areas adds costs
Alaska's Reinsurance Program
Alaska implemented a 1332 waiver reinsurance program that helps stabilize the market by covering high-cost claims. This has reduced premiums by approximately 20% compared to what they would otherwise be.
Health Insurance Marketplace in Alaska
Alaska uses the federal marketplace (HealthCare.gov). While sticker prices are high, substantial subsidies make coverage affordable for most Alaskans.
2025 Open Enrollment Period
- Open Enrollment: November 1, 2024 - January 15, 2025
- Deadline for January 1 coverage: December 15, 2024
Insurance Companies in Alaska
Alaska has limited insurer competition:
- Premera Blue Cross Blue Shield of Alaska
- Moda Health (some areas)
Special Enrollment Periods
You may qualify to enroll outside open enrollment if you:
- Lose other health coverage
- Get married, divorced, or have a baby
- Move to Alaska from another state
- Experience a change in income affecting eligibility
- Are Alaska Native or American Indian (can enroll monthly)
Average Health Insurance Costs in Alaska
Alaska has the highest premiums in the nation before subsidies, but subsidies often offset these costs significantly.
| Plan Type | Average Monthly Premium (Before Subsidies) |
|---|---|
| Bronze | $550 - $700 |
| Silver (Benchmark) | $750 - $950 |
| Gold | $850 - $1,100 |
Cost-Saving Tips for Alaskans
- Always check subsidies: Don't be scared off by sticker prices
- Consider Silver plans: Extra cost-sharing reductions if income is under 250% FPL
- Use telemedicine: Many plans offer robust telehealth for remote areas
- Community health centers: Lower-cost options for primary care
Frequently Asked Questions
Did Alaska expand Medicaid?
Yes, Alaska expanded Medicaid in September 2015. Governor Bill Walker expanded Medicaid by executive action after the legislature failed to act. Adults earning up to 138% of the federal poverty level ($20,783 for an individual) may now qualify for Denali Care.
Why is health insurance so expensive in Alaska?
Alaska has the highest healthcare costs in the nation due to its remote geography, small population, limited provider networks, high cost of living, and the expense of transporting patients and supplies. Benchmark Silver premiums before subsidies can exceed $800/month for a 40-year-old.
How do I apply for health insurance in Alaska?
For marketplace plans, use HealthCare.gov during open enrollment (November 1 - January 15). For Alaska Medicaid (Denali Care), apply year-round through the myAlaska portal or call the Division of Public Assistance at 1-800-780-9972.
What is the Alaska Reinsurance Program?
Alaska's 1332 waiver reinsurance program helps stabilize the individual market by covering high-cost claims. This has reduced premiums by approximately 20% compared to what they would otherwise be, though Alaska premiums remain the highest in the nation.
Need Help Finding Coverage in Alaska?
Alaska's unique healthcare landscape requires specialized knowledge. Our licensed agents can help you navigate your options and find affordable coverage.
Get Free Help