When you buy health insurance coverage in the Marketplace, you may be able to get a premium tax credit that lowers what you pay in monthly premiums.
This will depend on your household size and income.
Pay lower costs for premiums each month
In the Health Insurance Marketplace you may be able to pay less for health coverage every month if you qualify for a premium tax credit.
- When you fill out a Marketplace application you’ll report your household size and income. Learn how to count your income and household size.
- If your income falls between the amounts shown in the chart below, you’ll qualify for a premium tax credit that you can apply directly to your monthly premiums. This means you’ll pay less money to your insurance company each month.
Learn more about the premium tax credit from the Internal Revenue Service.
Savings depend on income and family size
If your income falls within the following ranges you’ll generally qualify for a premium tax credit. The lower your income is within these ranges, the bigger your credit.
- $11,490 to $45,960 for individuals
- $15,510 to $62,040 for a family of 2
- $19,530 to $78,120 for a family of 3
- $23,550 to $94,200 for a family of 4
- $27,570 to $110,280 for a family of 5
- $31,590 to $126,360 for a family of 6
- $35,610 to $142,440 for a family of 7
- $39,630 to $158,520 for a family of 8
Incomes that qualify for tax credits are higher in Alaska and Hawaii. See Alaska and Hawaii information.
Get an estimate of your premium tax credit and plan costs
You can view plans and prices available in your area right now by using a simple tool. Provide some basic income and household information and you’ll see how much you’d pay for each plan. Prices shown account for any tax credit you’re eligible for.
Your final tax credit will be determined when you finish your Marketplace application.
Coverage savings at lower income levels
If your income falls below the amounts shown on the chart, you may qualify for coverage under your state’s Medicaid program. This is true if you live in a state that’s decided to expand Medicaid to cover more people.
But if your income falls below the amounts shown on the chart, your state is not expanding Medicaid, and you don’t qualify for Medicaid under your state’s rules, you can’t get premium tax credits that reduce what you pay for a private insurance plan.
Learn if your state is expanding Medicaid and what this means for you.
If your income is too high for premium tax credits
If your income is too high to qualify for premium tax credits, you can buy coverage 4 ways.
Source: HealthCare.gov, “How to save on monthly insurance premiums.” http://www.healthcare.gov website. Accessed December 2, 2015. https://www.healthcare.gov/will-i-qualify-to-save-on-monthly-premiums/
© Copyright 2016. All rights reserved. This content is strictly for informational purposes and although experts have prepared it, the reader should not substitute this information for professional insurance advice. If you have any questions, please consult your insurance professional before acting on any information presented. Read more.