FullCalculator

Health Insurance Subsidy Calculator

ACA Premium Tax Credit Estimator

Estimate your Affordable Care Act premium tax credit based on income and family size

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Formula

Monthly Subsidy = Second-Lowest Silver Plan Premium - (Annual Income × Expected Contribution Rate / 12). Contribution rate ranges from 0% (at 150% FPL) to 8.5% (at 400%+ FPL).

Frequently Asked Questions

Who qualifies for ACA subsidies?
You may qualify if your income is above 100% of FPL (or above 138% in Medicaid expansion states) with no upper limit under the enhanced subsidies (through 2025). You must not have access to affordable employer coverage or government programs like Medicare/Medicaid.
What is the premium tax credit?
The premium tax credit (PTC) is a subsidy that lowers your monthly health insurance premium when you buy coverage through the ACA Marketplace. It's based on the difference between the second-lowest Silver plan premium and your expected contribution based on income.
Do I have to pay back the subsidy?
If your actual income differs from your estimate, you may owe money back or receive a refund at tax time. If your income was higher than estimated, you may need to repay some or all of the excess subsidy when you file your tax return.

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