How Financial Help Works
For those who are eligible for financial help to purchase an ACA Marketplace plan, the individual’s or family’s savings is primarily calculated based on the following factors:
- Household’s total expected income for the year
- Total number of people in the household that file taxes together
The calculation limits the percentage of the household’s income spent on monthly health insurance premiums. This amount is based on how the household income compares to federal poverty levels.
Prior to the American Rescue Plan, households could have contributed up to 9.83% of their income to pay for health plan premiums before receiving financial help. Under the new law, families will not be required to contribute more than 8.5% of their family household income toward premiums for a benchmark plan.
Making The Most Of The American Rescue Plan Of 2021
Financial help is only available with health insurance plans certified by the federal ACA Marketplace, or a state-based Marketplace. We can help you find out if you qualify for financial help and guide you through important next steps. We can also help you understand your options, including applying the savings to a plan with a higher benefit level or sticking with your current plan and lowering your monthly premium payment.
If you choose a new plan with Anthem, any amount you have already paid toward your current plan's annual deductible or out-of-pocket maximum will be applied to your new plan. Depending on your plan selection, you may have different benefits and/or a different provider network.
Do not miss the opportunity to take advantage of these savings.
If you are not yet an Anthem member, contact us today to understand your enrollment options and to find out if you can save.
If you are a current Anthem member, we can help you take advantage of extra savings that may be available. We can also guide you in reviewing other Anthem plan options that may offer lower out-of-pocket costs.
Anthem is here to help you understand how the American Rescue Plan may benefit you, and how you can make the most of this additional savings opportunity.
1 Anthem Business Intelligence analysis of 2021 internal application data and Federal Poverty Level distribution; May 2021.1
New, lower costs on Marketplace coverage available now: https://www.healthcare.gov/blog/more-savings-2021-marketplace-plans
American Rescue Plan and the Marketplace fact sheet: https://www.cms.gov/newsroom/fact-sheets/american-rescue-plan-and-marketplace