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Respondents who had direct purchase, Medicaid, or ‘other’ insurance may report that their coverage was obtained through Healthcare.gov or a state-based exchange as well as whether that coverage had a premium and subsidy. Therefore, the SIPP accepts respondent reports of exchange-based coverage even if they do not appear eligible to have that coverage type. For example, a respondent who reported income above their state’s Medicaid eligibility requirements may still report that they have Medicaid obtained through Healthcare.gov or a state-based exchange. Data users may choose to reclassify such coverage at their discretion.
Given that exchange coverage can be reported in multiple places, the recode variable RMARKTPLACE does not indicate the type of insurance a respondent had. Respondents who had private health insurance, Medicaid, or ‘other’ insurance could report having obtained their insurance coverage through the health insurance marketplace.
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