How To Know If You Are Eligible For Health Insurance Subsidy
Your eligibility for a health coverage subsidy depends primarily on how much you earn compared to yearly updated federal poverty level (FPL) guidelines. As part of the American Rescue Plan Act passed on March 11, 2021, new federal guidelines went into effect that impact access to financial help.
If your household income is between 100% and 250% of FPL, you could be eligible for both the APTC and CSRs.
If your household income is more than 250% of FPL, you could be eligible for the APTC, and pay no more than 8.5% of your expected annual income toward premiums.
The number of people in your household and the cost of health coverage in your state also affect eligibility.
Learn More About Insurance Subsidies Under The Affordable Care Act
The ACA Health Insurance Marketplace offers approved health insurance plans in four metal plan categories: Bronze, Silver, Gold, and Platinum. The categories differ by what percentage you pay of your yearly costs of care.
If eligible, the APTC (subsidy) is available in any of the four metal categories. CSRs are only available if you select a Silver plan.
The estimates in the table below are based on an average population. Your costs will vary.