Yes—you can pursue a spouse’s job plan or a HealthCare.gov marriage enrollment immediately after the wedding, with Florida pregnancy assistance as a third income-based route.

Immigration status to qualify for the Marketplace

Individual with Non-immigrant Status including workers visas (such as H1, H-2A, H-2B), student visas, U-visa, T-visa, and other visas Adjustment to Lawful Permanent Resident (LPR/Green Card holder) status.

(a)(5), (b)(2)(ii), and (c)(1)

Qualified individuals who are required to demonstrate coverage in the 60 days prior to a qualifying event can either demonstrate that they had minimum essential coverage as described in 26 CFR 1.5000A-1(b) or demonstrate that they had coverage as described in paragraphs (d)(1)(iii) or (iv) of this section for 1 or more days during the 60 days preceding the date of the qualifying event; lived in a foreign country or in a United States territory for 1 or more days during the 60 days preceding the date of the qualifying event; are an Indian as defined by section 4 of the Indian Health Care Improvement Act; or lived for 1 or more days during the 60 days preceding the qualifying event or during their most recent preceding enrollment period, as specified in §§ 155.410 and 155.420, in a service area where no qualified health plan was available through the Exchange. Unless specifically stated otherwise herein, a qualified individual or enrollee has 60 days from the date of a triggering event to select a QHP. In the case of marriage as described in paragraph (d)(2) of this section the Exchange must ensure that coverage is effective for a qualified individual or enrollee on the first day of the month following plan selection.

(b)(3)(i) and (b)(3)(iii)(A)

A plan or issuer must allow an individual a period of at least 30 days after the date of the marriage, birth, adoption, or placement for adoption ... to request enrollment... In the case of marriage, coverage must begin no later than the first day of the first calendar month beginning after the date the plan or issuer receives the request for special enrollment.

Health coverage if you're pregnant

All Marketplace and Medicaid plans cover pregnancy and childbirth. This is true even if your pregnancy begins before your coverage starts.

Coverage for pre-existing conditions

If you’re pregnant when you apply, an insurance plan can’t reject you or charge you more because of your pregnancy. Once you’re enrolled, your pregnancy and childbirth are covered from the day your plan starts.

Q5 and Q18

The individual enrolled was not able to get affordable coverage through an eligible employer-sponsored plan that provides minimum value (see Q11-15 ) Additionally, an employee and a family member are not eligible for a Premium Tax Credit for their Marketplace coverage if they could have enrolled in employer-sponsored coverage that is affordable and provides minimum value.

Medicaid for Pregnant Women; Emergency Medical Assistance for Non-Citizens

A pregnant woman may qualify for Medicaid if her family’s countable income does not exceed income limits. For pregnant women who do not meet the citizenship requirements for Medicaid, see the information below about Emergency Medical Assistance for Non-Citizens. Non-citizens, who are Medicaid eligible except for their citizenship status, may be eligible for Medicaid to cover a serious medical emergency. This includes the emergency labor and delivery of a child.

Pregnant Women column, family sizes 2–4

**Pregnant Women** 2 3,807 2,617 2,490 478 3,537 3 4,805 3,302 3,142 600 4,463 4 5,803 3,989 3,796 723 5,391

Finding Affordable Prenatal Care

Your local county health department can connect you to the services that can keep you in prenatal care while you’re pregnant. If you’re have low income and eligible, presumptive eligibility for pregnant women will be your first step toward prenatal coverage. This is temporary coverage that can keep you healthy early in your pregnancy before Medicaid enrollment starts.

Chapter 9, Requirements

The health center must operate in a manner such that no patient shall be denied service due to an individual’s inability to pay. The health center must prepare a schedule of fees or payments for the provision of its services consistent with locally prevailing rates or charges and designed to cover its reasonable costs of operation and must prepare a corresponding schedule of discounts [sliding fee discount schedule (SFDS)] to be applied to the payment of such fees or payments, by which discounts are adjusted on the basis of the patient's ability to pay.

EMTALA overview

Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay. Hospitals are then required to provide stabilizing treatment for patients with EMCs.

E. Public Benefits Not Considered

Medicaid (other than for long-term use of institutional services under section 1905(a) of the Social Security Act); Health insurance coverage through the Health Insurance Marketplace, state-based marketplaces, or the Small Business Health Options Program (SHOP) under the Affordable Care Act, and financial assistance for such coverage;

Confirm a Special Enrollment Period

It’s best to pick a plan first and submit your documents afterwards. After you pick a plan, you have 30 days to send the documents. Your coverage start date is based on when you pick a plan. But you can’t use your coverage until we confirm your eligibility and you make your first premium payment.

Green Card for Fiancé(e) of U.S. Citizen

Within 90 days after being admitted as a K-1 nonimmigrant, the alien must enter into a bona fide marriage with the U.S. citizen who filed the Form I-129F, Petition for Alien Fiancé(e), on their behalf.