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One does not lose medical benefits until after the divorce decree is entered; that is a change in status which typically terminates eligibility. You can check with your employer's HR department to verify this as it varies by policy, but the standard tends to be that divorce terminates coverage.
One can request from the court an order stating that the supporting spouse is to pay the supported spouse's medical insurance directly (versus paying it to the supported spouse); but normally that is a part of alimony-ie alimony is supposed to be a sufficient amount to include health insurance coverage.
Yes, alimony is considered for purposes of determining income eligibility:
One cannot pay the premium directly unless the court orders it, but it would still count as income.
Here are the income eligibility guidelines:
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Yes, it is a federal program but the federal government has allowed the state to have some discretion as to what guidelines/eligibility they will use. There are federal guidelines that the states must comply with but each state has discretion as to certain parts of the program.
Here is a link to the federal income eligibility:
But I prefer linking to the state source since the state department is the one that determines eligibility.