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The American Rescue Plan increased the premium tax credits for people who purchase individual, marketplace coverage and removed the requirement that your annual household income be below 400% of the federal poverty level through the end of 2022. The calculator tool below will help you determine if you and your family qualify for financial assistance.


More Information about the Premium Tax Credits

The “Marketplace” is another term for Healthcare.gov, the federal exchange that was created by the Affordable Care Act. Our recommendation is that you purchase Marketplace coverage IF you qualify for a premium tax credit. If not, you should purchase coverage “off exchange,” or outside the Marketplace, or you should consider another coverage option.

Thanks to the American Rescue Plan, more people qualify for a premium tax credit than ever before. Not only did the new law increase the tax credits at all income levels, it removed the requirement that your annual household income be below 400% of the federal poverty level. Below are some examples from the Dallas-Fort Worth area showing they tax credits that people of different ages, income levels, and household sizes could expect to receive.

People earning less than 400% of FPL

Household Size Age(s) Annual Income Income as % of FPL Premium Tax Credit
1 25 $40,000 313% $116/mo
1 60 $40,000 313% $674/mo
2 25, 23 $60,000 348% $294/mo
2 55, 53 $60,000 348% $1,033/mo
4 29, 28, 5, 2 $80,000 305% $810/mo
4 49, 48, 19, 15 $80,000 305% $1,260/mo

People earning more than 400% of FPL (no tax credit was available before ARPA)

Household Size Age(s) Annual Income Income as % of FPL Premium Tax Credit
1 25 $75,000 588% $0
1 60 $75,000 588% $354
2 25, 23 $90,000 522% $16
2 55, 53 $90,000 522% $756
4 29, 28, 5, 2 $120,000 458% $369
4 49, 48, 19, 15 $120,000 458% $819

 

One rule that remains is that those who have access to other affordable minimum essential coverage, like an employer-sponsored health plan or a government program, do not qualify for a premium tax credit.

The enhanced tax credits will remain in place at least through the end of 2022. If it looks like you qualify for a tax credit after entering your information below, please contact JME for assistance. We’ll be happy to help get you set up with an individual policy and any financial assistance you qualify for.

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