Kansas Health Insurance Guide 2025

Everything you need to know about health coverage in the Sunflower State

Medicaid Not Expanded

Key Facts

Medicaid Status Not Expanded
Marketplace Federal (HealthCare.gov)
Open Enrollment Nov 1 - Jan 15
Uninsured Rate 9.2%

Medicaid in Kansas

Kansas has not expanded Medicaid under the Affordable Care Act. This means eligibility for Medicaid remains more limited compared to expansion states. However, traditional Medicaid is still available for certain groups.

Important for low-income Kansans: Without Medicaid expansion, many adults without dependent children cannot qualify for Medicaid regardless of income. However, marketplace plans with strong subsidies are often available as an alternative.

Who Qualifies for Kansas Medicaid?

  • Pregnant women with income up to 166% FPL
  • Children under 19 with income up to 166% FPL
  • Parents/caretakers with income up to approximately 38% FPL (very limited)
  • Seniors 65+ and people with disabilities receiving SSI
  • Adults in specific categories (blind, disabled, nursing home eligible)

The Coverage Gap

Because Kansas hasn't expanded Medicaid, some adults fall into a "coverage gap" - they earn too much for traditional Medicaid but may have incomes below the threshold for marketplace subsidies. However, recent federal changes have helped many in this situation access affordable marketplace coverage.

How to Apply

You can apply for Kansas Medicaid (KanCare) through:

  • Online at kancare.ks.gov
  • By phone: 1-800-792-4884
  • In person at your local DCF office
  • Through a certified application counselor

Health Insurance Marketplace

Kansas uses the federal Health Insurance Marketplace at HealthCare.gov. For many Kansans who don't qualify for Medicaid, the marketplace offers the best path to affordable coverage thanks to premium tax credits.

Good news: Enhanced premium subsidies make marketplace coverage more affordable than ever. Many Kansans can find plans for less than $100/month, and some qualify for $0 premium Bronze plans.

Available Plan Types

  • Bronze: Lower premiums, higher out-of-pocket costs (60% coverage)
  • Silver: Moderate premiums and costs (70% coverage) - best for subsidies
  • Gold: Higher premiums, lower out-of-pocket costs (80% coverage)
  • Platinum: Highest premiums, lowest out-of-pocket costs (90% coverage)

Enrollment Periods

Open Enrollment: November 1, 2024 - January 15, 2025

Outside of Open Enrollment, you may qualify for a Special Enrollment Period if you experience a qualifying life event such as:

  • Loss of other health coverage
  • Marriage or divorce
  • Having a baby or adopting a child
  • Moving to Kansas from another state

Average Costs in Kansas

Health insurance costs in Kansas vary based on your age, location, plan type, and tobacco use. Here are typical monthly premiums before subsidies:

Plan Type Individual (Age 40) Family of 4
Bronze $400 - $480 $1,250 - $1,550
Silver $500 - $600 $1,550 - $1,950
Gold $580 - $680 $1,800 - $2,200
Subsidies make coverage affordable: With premium tax credits, many Kansas residents pay significantly less. Someone earning $30,000/year might pay under $100/month for a Silver plan after subsidies.

Frequently Asked Questions

Has Kansas expanded Medicaid?

No, Kansas has not expanded Medicaid as of 2025. This means adults without dependent children generally cannot qualify for Medicaid regardless of income, and parents must have very low incomes to qualify. However, marketplace plans with premium subsidies are available for those who don't qualify for traditional Medicaid.

What is the coverage gap in Kansas?

The coverage gap refers to people who earn too much to qualify for Kansas Medicaid but too little to qualify for marketplace subsidies. In non-expansion states like Kansas, some adults fall into this gap. However, enhanced federal subsidies have helped reduce the gap for many Kansans.

When is Open Enrollment for Kansas health insurance?

Open Enrollment for 2025 coverage runs from November 1, 2024 through January 15, 2025. Kansas uses the federal marketplace at HealthCare.gov. To have coverage starting January 1, 2025, you must enroll by December 15, 2024.

How much does health insurance cost in Kansas?

The average monthly premium for a benchmark Silver plan in Kansas is approximately $500-600 before subsidies. Many Kansas residents qualify for premium tax credits that significantly reduce costs, with some paying less than $50 per month after subsidies.

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