Subsidy Eligibility | ObamacareUSA.org

What are Subsidies?

Obamacare was created to provide all Americans with access to affordable, quality healthcare. Subsidies are a big part in ensuring this affordability because they greatly reduce the costs of owning a policy, especially to those who need financial assistance the most.

A subsidy is like a discount on your policy -- not on only on the premium (how much you pay for insurance every month), but also on the out-of-pocket expenses (co-pays, deductibles, etc.).

The amount of the subsidy is based on your household income and the number of people in your household. Known as the “Advance Premium Tax Credit” in technical terms, subsidizes can be applied monthly towards the rate of your plan or as a lump sum credit on your tax return at the end of the year.

Determining if You Qualify:

Eligibility for subsidies depends on where you live, your age, your income and whether or not you are a smoker. Generally speaking, the lower your income, the larger your credit.

If you live in one of the 48 continental states, you should be able to qualify for a subsidy on both your premium and your out-of-pocket medical expenses if your income falls into one of the below ranges:

# of People in Household

Household Income Range

$11,670 to $46,680

$15,730 to $62,920

$19,790 to $79,160

$23,850 to $95,400

$27,910 to $111,640

$31,970 to $127,880

$36,040 to $144,120

$40,090 to $160,360

If you live in Alaska, you should be able to qualify for a subsidy on your premium if your income falls into one of the below ranges:

# of People in Household

Household Income Range

$14,580 to $58,320

$19,660 to $78,640

$24,740 to $98,960

$29,820 to $119,280

$34,900 to $139,600

$39,980 to $159,920

If you live in Alaska, you should be able to qualify for a subsidy on your out-of-pocket medical expenses if your income falls into one of the below ranges:

# of People in Household

Household Income Range

$14,580 to $36,450

$19,660 to $49,150

$24,740 to $61,850

$29,820 to $74,550

$34,900 to $87,250

$39,980 to $99,950

If you live in Hawaii, you should be able to qualify for a subsidy on your premium if your income falls into one of the below ranges:

# of People in Household

Household Income Range

$13,420 to $53,680

$18,090 to $72,360

$22,760 to $91,040

$27,430 to $109,720

$32,100 to $128,400

$36,770 to $147,080

If you live in Hawaii, you should be able to qualify for a subsidy on your out-of-pocket medical expenses if your income falls into one of the below ranges:

# of People in Household

Household Income Range

$13,420 to $33,550

$18,090 to $45,225

$22,760 to $56,900

$27,430 to $68,575

$32,100 to $80,250

$36,770 to $91,925

Is your income below the range for the number of people in your household? In other words, say there are two people in your household, and you live in one of the 48 continental states. The listed range for this household size and location is $15,730 to $62,920. If you make less than $15,730, then you can still save on healthcare coverage.

Remember, the main purpose of the Affordable Care Act is to ensure that health insurance is available to everyone. If your income is less than the lowest number listed in a given range, then that means you are eligible for Medicare/Medicaid at little to no cost. Not every state has Medicare/Medicaid available for this purpose. If you live in one of these states, you will be eligible for a Catastrophic Plan.

Not completely sure about your subsidy eligibility? Don’t worry! Go ahead and enter your zip code and our technology will help determine your subsidy eligibility during the quote and application process. ObamacareUSA.org is here to make sure you pay the lowest rate for the best health coverage available to you!

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There are several factors that impact your monthly premium; including your age, geographical location, annual income, dependents, and the type of plan you choose. Monthly premiums do not include out-of-pocket costs.

ObamacareUSA.org is operated by QuoteLab, LLC, which is an independent broker and is not a federal or state insurance Marketplace or other website. It does not provide access to any federal or state marketplace or exchange. This website is owned and operated by QuoteLab, LLC, a licensed insurance agency, NPN #19911386. Invitations for application for health insurance are made through QuoteLab, LLC, only where licensed and appointed. License numbers are available upon request and are provided where required by law. QuoteLab's license information can be found at https://www.quotelab.com/licenses.html.

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Note that even with a $0 premium Medicare Advantage plan, you'll still pay a monthly premium for Part B, and a Part D premium if your Medicare Advantage plan does not include prescription drug coverage (MA-PD).

Allowance Disclaimer: Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply.

** Members may receive a monthly or quarterly allowance in the form of a benefits prepaid card to pay for a wide range of approved groceries and utilities. Unused amounts will expire at the end of the month or quarter.

* The benefits mentioned are Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan’s Evidence of Coverage.

Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

¹Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.