New Hampshire Health Insurance Guide 2025

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

Medicaid Expanded

Key Facts

Medicaid Status Expanded (2014)
Marketplace Federal (HealthCare.gov)
Open Enrollment Nov 1 - Jan 15
Uninsured Rate 6.4%

New Hampshire Medicaid (Granite Advantage)

New Hampshire expanded Medicaid in 2014 through the Granite Advantage Health Care Program. This program provides comprehensive health coverage to low-income adults who previously had no affordable options. The expansion has been particularly important for New Hampshire's rural communities.

Who Qualifies for NH Medicaid?

  • Adults ages 19-64 with income up to 138% FPL ($20,783/year for individuals) - Granite Advantage
  • Pregnant women with income up to 196% FPL
  • Children under 19 with income up to 318% FPL
  • Seniors and people with disabilities meeting income and asset requirements
  • Parents/caretakers meeting income requirements
Granite Advantage: New Hampshire's Medicaid expansion program has provided coverage to over 50,000 adults since its launch. The program uses a managed care model delivered through private insurance carriers.

NH Medicaid Benefits

  • Preventive care and wellness visits
  • Doctor visits and specialist care
  • Hospital inpatient and outpatient services
  • Prescription drug coverage
  • Mental health and substance abuse treatment
  • Dental services (limited for adults)
  • Vision care
  • Laboratory and X-ray services

How to Apply

You can apply for New Hampshire Medicaid through:

  • Online at nheasy.nh.gov
  • By phone: 1-844-275-3447
  • In person at your local District Office
  • Through a certified application counselor or navigator

Health Insurance Marketplace

New Hampshire uses the federal Health Insurance Marketplace at HealthCare.gov. If you earn more than 138% FPL or prefer private coverage with more plan choices, the marketplace is your best option.

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)
No state income tax: New Hampshire is one of only a few states with no state income tax, which can make health insurance more affordable relative to take-home pay. However, the state's rural nature can limit provider networks in some areas.

Enrollment Periods

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

New Hampshire Medicaid accepts applications year-round. You can also qualify for a Special Enrollment Period on the marketplace if you have a qualifying life event.

Average Costs in New Hampshire

Health insurance costs in New Hampshire 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 $340 - $400 $1,100 - $1,350
Silver $420 - $520 $1,350 - $1,700
Gold $490 - $590 $1,550 - $1,950
NH Medicaid $0 $0
Subsidies lower costs significantly: Many New Hampshire residents qualify for premium tax credits that significantly reduce monthly costs. The lack of state income tax means more of your income is available for healthcare expenses.

Frequently Asked Questions

Has New Hampshire expanded Medicaid?

Yes, New Hampshire expanded Medicaid in 2014. Adults with household incomes up to 138% of the Federal Poverty Level qualify for New Hampshire Medicaid through the Granite Advantage Health Care Program.

Where do I buy health insurance in New Hampshire?

New Hampshire uses the federal health insurance marketplace at HealthCare.gov. Residents can shop for and enroll in qualified health plans during open enrollment or with a qualifying life event.

What is the Granite Advantage Health Care Program?

Granite Advantage is New Hampshire's Medicaid expansion program for adults ages 19-64 with incomes up to 138% FPL. It provides comprehensive health coverage including doctor visits, hospital care, prescriptions, and mental health services.

When is open enrollment in New Hampshire?

Open enrollment for 2025 coverage through HealthCare.gov runs from November 1, 2024 through January 15, 2025. Enroll by December 15 for coverage starting January 1, 2025.

Need Help Finding New Hampshire Coverage?

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