Uninsured Women’s Health Services Basic Eligibility

Reference Tools: Constructing a MAGI Household

ELIGIBILITY FACTOR REQUIREMENT
AGE At least 18 and up to but not including age 56.
IN NEED OF FAMILY PLANNING SERVICES Women who have been sterilized are not in need of family planning services and are ineligible for the UWHS program.
SOCIAL SECURITY NUMBER Must furnish or apply for one.*
CITIZENSHIP AND ALIEN STATUS Must be a U.S. citizen or a qualified alien.
RESIDENCE Must reside in Missouri.
UNINSURED Must be uninsured. (Without insurance which covers family planning services.)
NO ACCESS TO EMPLOYER-SPONSORED INSURANCE Cannot have access to employer-sponsored health insurance, either through her own employer or spouse’s, which covers family planning services. (Affordability limits do not apply.)
INELIGIBLE FOR ANY OTHER MO HEALTHNET PROGRAM If a woman qualifies for any other MO HealthNet program (excluding Gateway to Better Health), she is ineligible for UWHS.
HOUSEHOLD COMPOSITION

 Household composition is based on Federal tax filing rules.

Tax filer households: intend to file a federal income tax return for the year coverage is requested. Households consists of the tax filer and individuals to be claimed as dependents:

  • Parents / Stepparents
  • Children and their siblings including stepchildren
  • Children over age 19 (when claimed as dependents)
  • Note: some exceptions apply for individuals who expect to be claimed as dependents
  • The parents of a person under age 19 must be included in the household composition and the parents’ income is counted even if the child claims he is a non-dependent tax filer. These individuals fall under non-filer rules because they are children who are not claimed as tax dependents.

Non-filer households: do not plan to file a federal income tax return nor expect to be claimed as a tax dependent for the year coverage is requested. Households include the family members who live with the individual:

  • The individual requesting coverage
  • His/her spouse
  • His/her Children and stepchildren
  • For children, include:
    • parents / stepparents
    • dependent siblings / stepsiblings under age 19
INCOME Federal income tax rules determine how income is counted. Adjusted gross income cannot exceed 201% FPL for the household size.

*Social Security number is not a requirement for other members of the household; however, their Social Security numbers should be requested as they may be needed to verify income.