In 2014, a Supreme Court decision gave states the choice whether to expand Medicaid to cover adults with incomes below 138 percent of the poverty line. As a result, individuals earning between 100 and 138 percent of poverty can qualify for a premium tax credit in states that do not…
Updated August 2024 Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. Note that many guidelines and thresholds are indexed and change…
The Inflation Reduction Act extends the increased marketplace premium subsidies that were enacted by the American Rescue Plan Act through 2025. With the increased premium subsidies in effect, monthly premium payments are lower and many more people can enroll in a marketplace plan at low or no cost. This FAQ…
This calculator provides an estimate of the amount of financial help a person may be eligible for and how much they could expect to pay for health insurance on the marketplace. The information provided is reflects the increase to premium tax credits in the American Rescue Plan and the Inflation Reduction…
In this Beyond the Basics webinar presented on September 14, 2023, Jenny Sullivan, Director of Health Coverage Access, provided an in-depth review of eligibility rules for premium tax credits as well as how premium tax credits are calculated. Webinar Resources ↓ Presentation Slides (PDF)
In Part II of this Beyond the Basics OE10 webinar series presented on September 15, 2022, Jenny Sullivan, Director of Health Coverage Access, provides an in-depth review of eligibility rules for premium tax credits—including how offers of employer-sponsored insurance can affect eligibility—as well as how premium tax credits are calculated.…
In this Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on October 12, 2021, Tara Straw, Director of Health Insurance and Marketplace Policy, brings together all of the policies covered in our webinar series by walking through the HealthCare.gov application step-by-step. ↓ View Presentation Slides…
In this Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 16, 2021, Tara Straw, Director of Health Insurance and Marketplace Policy, provides an in-depth review of eligibility rules for premium tax credits—including how offers of employer-sponsored insurance can affect eligibility—as well as how…
The health reform law changed the way Medicaid and CHIP determine eligibility for most beneficiaries to align with how eligibility for premium tax credits is determined in the Marketplaces. All three coverage programs determine a household’s size and income using tax rules. The Center on Budget and Policy Priorities developed…
