Updated August 2023 We have created a tool to help you estimate the income and expenses a self-employed client needs to include on their HealthCare.gov application to project their income for the enrollment year. This tool will give the client a ballpark estimate of their projected net self-employment income. There’s…
Updated August 2023 Eligibility for the premium tax credit is based on certain tax rules determining filing status and who is included in a tax household. This reference guide walks through the following: Who can be claimed as a tax dependent? Tax filing statuses and eligibility for the premium tax…
Updated August 2023 Medicaid eligibility based on modified adjusted gross income (MAGI) household and income rules uses three categories to determine an individual’s household size: Tax filers not claimed as a tax dependent Tax dependents (with three exceptions) Non-filers not claimed as a tax dependent Separate determinations of household size…
Updated August 2023 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…
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…
Generally, people can only enroll in a marketplace plan or switch plans on HealthCare.gov during the annual open enrollment period. But people who experience certain life events during the year are able to newly enroll in a plan or switch plans outside of open enrollment through a special enrollment period…
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…
A new Treasury regulation finalized in October 2022 changes the rules used to determine whether an offer of employer-sponsored coverage is affordable to the spouse and dependents of an employee. These changes make many more people eligible for the premium tax credit (PTC), which can be used to purchase coverage…
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 Part VIII of this Beyond the Basics OE10 webinar series presented on October 13, 2022, Claire Heyison, Senior Policy Analyst for Health Insurance & Marketplace Policy, and Jenny Sullivan, Director of Health Coverage Access, bring together all of the policies covered in the Beyond the Basics webinar series by…
