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Kevin Ramos
December 28, 2022

What do I need to know about subsidies and tax credits pertaining to the Affordable Care Act?

The Affordable Care Act, also known as Obamacare, offers subsidies and tax credits to help lower the cost of health insurance for individuals and families who meet certain income and other eligibility requirements. Understanding how these subsidies and tax credits work is important for anyone considering purchasing health insurance through the Health Insurance Marketplace, also known as the Affordable Care Act Marketplace.

Subsidies are financial assistance provided by the government to help lower the cost of health insurance. There are two types of subsidies available through the Marketplace: premium tax credits and cost-sharing reductions.

Premium tax credits are available to individuals and families with incomes between 100% and 400% of the federal poverty level. These tax credits help lower the monthly cost of health insurance premiums, making them more affordable for those who qualify. The amount of the tax credit is based on your income, the size of your household, and the cost of health insurance in your area.

Cost-sharing reductions are available to individuals and families with incomes below 250% of the federal poverty level. These reductions lower out-of-pocket costs, such as deductibles, copays, and coinsurance, for those who qualify.

To be eligible for subsidies, you must purchase a health insurance plan through the Marketplace and meet certain income and other eligibility requirements. You can apply for subsidies when you enroll in a health insurance plan through the Marketplace, or you can claim them when you file your taxes.

In addition to subsidies, the Affordable Care Act also offers tax credits to small businesses that provide health insurance to their employees. The Small Business Health Care Tax Credit is available to small businesses with fewer than 25 full-time equivalent employees and average wages of less than $50,000 per year. The credit is based on the number of employees and the amount the business pays for employee health insurance premiums.

It is important to note that subsidies and tax credits are only available for health insurance plans purchased through the Marketplace. If you purchase a health insurance plan directly from an insurance company or through a broker, you will not be eligible for these financial assistance programs.

If you are considering purchasing health insurance through the Marketplace, it is worth exploring whether you may be eligible for subsidies or tax credits. These programs can significantly lower the cost of health insurance, making it more affordable for those who qualify. To learn more about subsidies and tax credits and to determine your eligibility, visit the official Marketplace website, healthcare.gov.

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