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ARKANSAS · ACA · LOW-INCOME

Low-Income Health Insurance in Arkansas (ACA Guide)

Arkansas is one of a small group of states that expanded Medicaid through a private-option program called ARHOME. If your household earns under 138% of the federal poverty level, you likely qualify for a $0 premium ARHOME plan delivered through a private insurer. Above that threshold, ACA marketplace subsidies kick in and cap your premium at 8.5% of household income.

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ARHOME income limit (single)

$20,800

Avg AR Silver benchmark

$498/mo

Median net premium after subsidy

$48/mo

  • ARHOME = Arkansas' Medicaid expansion
  • Marketplace: HealthCare.gov for AR
  • Open Enrollment: Nov 1 – Jan 15
  • Year-round Medicaid enrollment
  • 5 ACA carriers active in 2026
  • Subsidy cap: 8.5% of income through 2026

Published 2026-05-17 · Last reviewed 2026-05-17

ARHOME — Arkansas' private-option Medicaid

Arkansas runs Medicaid expansion differently than most states. Instead of putting newly-eligible adults onto traditional state Medicaid, ARHOME uses Medicaid funds to buy private insurance plans for enrollees through the federal marketplace. Functionally, ARHOME enrollees get the same private network access and provider choice that subsidized marketplace enrollees do — at no premium and minimal cost-sharing.

Eligibility: household income under 138% of the federal poverty level. For 2026, that's roughly $20,800 for a single adult, $28,200 for a couple, $43,000 for a family of four. You qualify regardless of employment status, and the only documentation needed is recent pay stubs or tax records and proof of Arkansas residency.

Enrollment is year-round — you do not need to wait for ACA Open Enrollment to apply for ARHOME. Apply through access.arkansas.gov or any licensed Arkansas insurance agent.

If you earn just above ARHOME — what happens

Between 138% and 250% of FPL, you transition from ARHOME to subsidized marketplace coverage with cost-sharing reductions (CSRs). CSR-enhanced Silver plans give you dramatically lower deductibles and out-of-pocket maximums — often $0–$500 deductibles, where the unsubsidized version of the same plan would have a $5,000+ deductible.

Between 250% and 400% of FPL, you still get a premium subsidy that caps your benchmark Silver premium at 8.5% of household income, but you lose the CSR enhancement. You're still likely to pay $50–$300/month for a real plan.

Above 400% of FPL — the so-called 'subsidy cliff' that used to exist has been removed through 2026 by the Inflation Reduction Act extension. Your premium is still capped at 8.5% of household income, so a $90K household won't pay more than about $640/month for the benchmark plan regardless of how high the unsubsidized price climbs.

Carriers writing in Arkansas for 2026

Five carriers offer individual and ARHOME plans across Arkansas in 2026. Coverage area and network strength vary by county.

  • Arkansas Blue Cross Blue Shield (BCBS) — broadest statewide network, dominant in rural AR
  • QualChoice / Centene — strong Little Rock metro, competitive premiums
  • Ambetter from Arkansas Health & Wellness — value-tier, narrower network
  • Oscar Health — available in select metros, telehealth-forward
  • USAble — Arkansas-grown carrier with strong NW Arkansas presence

Three Arkansas-specific gotchas

First, ARHOME re-determination. Your eligibility is reviewed at least annually. If your income rises during the year and crosses 138% FPL, you'll be moved off ARHOME — but you're entitled to a 60-day Special Enrollment Period to pick up a subsidized marketplace plan. Don't let coverage lapse during the transition.

Second, network breadth. ARHOME enrollees and ACA enrollees alike sometimes assume 'subsidized' means 'narrow network'. It doesn't have to — BCBS of Arkansas runs the same statewide network for ARHOME members as for fully-paying customers. Read the SBC (Summary of Benefits and Coverage) before assuming.

Third, work requirements. Arkansas's previous attempt to add Medicaid work requirements (rolled out in 2018, struck down by federal court in 2019) is sometimes still referenced in confusing terms. As of 2026, ARHOME does not have a work requirement. Don't let outdated information scare you away from applying.

How to actually enroll

Three paths, all free:

Online: access.arkansas.gov for ARHOME applications. HealthCare.gov for marketplace plans with subsidies.

By phone: Arkansas DHS at 1-855-372-1084 for ARHOME questions. HealthCare.gov hotline at 1-800-318-2596 for marketplace help.

Through a licensed Arkansas agent: free to you (carriers pay the agent commission). An agent can pre-screen you for ARHOME vs marketplace, run subsidy calculations across all 5 carriers, and flag plan-network gaps in 15 minutes. For families with chronic conditions or specific provider relationships, an agent typically saves $40–$150/month vs. self-enrollment.

Common Questions

Answers Before You Call

What is ARHOME?+

ARHOME (Arkansas Health and Opportunity for Me) is Arkansas's private-option Medicaid expansion program. It uses Medicaid funds to enroll low-income adults in private health insurance plans through the federal marketplace, at no premium to the enrollee.

Who qualifies for ARHOME in Arkansas?+

Arkansas residents ages 19–64 with household income under 138% of the federal poverty level — about $20,800 for a single adult or $43,000 for a family of four in 2026. There is no work requirement as of 2026.

How much does health insurance cost on the Arkansas ACA marketplace?+

The 2026 benchmark Silver plan averages about $498/month before subsidies for a 40-year-old non-smoker. After ACA premium tax credits, most subsidized Arkansas enrollees pay $0–$120/month. Households above 400% FPL also qualify for capped premiums through 2026.

When can I enroll in low-income health insurance in Arkansas?+

ARHOME is year-round — apply any time at access.arkansas.gov. ACA marketplace plans are limited to the November 1 – January 15 Open Enrollment unless you have a qualifying life event (job loss, move, marriage, birth, income change).

Do I need to file taxes to qualify for ACA subsidies in Arkansas?+

Yes — ACA subsidies are reconciled on your federal tax return. You can still apply for and receive Advance Premium Tax Credits during the year, but you must file taxes the following spring to reconcile the subsidy against your actual income. ARHOME does not require tax filing.

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