r/VeteransBenefits

Get Covered NJ and VA

Yes, you can enroll in a Get Covered NJ marketplace plan even with a VA disability rating; the assertion that you must use "VA insurance" (likely referring to VA healthcare) is incorrect. Your eligibility for premium tax credits and cost-sharing reductions is governed by federal law (26 U.S.C. § 36B and 45 CFR § 155.305), which explicitly states that eligibility for or receipt of VA healthcare does **not** disqualify you from marketplace subsidies, as it is not considered "minimum essential coverage" under the Affordable Care Act for the purpose of subsidy eligibility. However, your veteran status and income, which includes your VA disability compensation, will affect your subsidy calculation. The key is that you must **decline** enrollment in VA healthcare to qualify for subsidies, though this is generally not advisable. A better strategy is to confirm you are enrolled in VA healthcare (which meets the individual mandate requirement) and then apply for a marketplace plan without subsidies, as you may find the out-of-pocket costs prohibitive. Your actionable next steps are: 1) Contact Get Covered NJ again and cite the federal regulations; ask to speak with a supervisor if needed. 2) Consider seeking free assistance from a New Jersey Certified Application Counselor or Navigator who understands veteran-specific issues. 3) You may file an appeal with Get Covered NJ regarding your eligibility determination. **Disclaimer: This information is for educational purposes regarding VA benefits and related programs and does not constitute legal, medical, or official benefits advice.**

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Disclaimer: VetAid is not a law firm, medical practice, or Veterans Service Organization. This information is for educational purposes only and does not constitute legal, medical, or professional advice. Consult with a qualified VA-accredited attorney or your VSO representative. Veterans Crisis Line: 988 (press 1).