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Understand Cost

Lower Your Health Insurance Costs

To help make health care more affordable, the ACA created two types of financial assistance, known as subsidies, for low- and middle-income people who buy insurance on an Insurance Marketplace.

  1. The first is a premium subsidy that could help lower your monthly premiums. The second is a cost-share subsidy that can help limit how much you’ll have to pay out-of-pocket for your health care, deductibles, copays, etc. To get an estimate of what you may receive in financial assistance, check out our Subsidy Calculator.

    In order to qualify and receive financial assistance, you will need to apply for the subsidy on the Insurance Marketplace and buy your plan from there. Subsidies are not available to individuals who receive health insurance through an employer.

    You may qualify for the premium subsidy, which will help with monthly premiums, if your total household income is less than:
    • $46,680 for individuals
    • $62,920 for a family of 2
    • $79,160 for a family of 3
    • $95,400 for a family of 4
    • $111,640 for a family of 5
    • $127,880 for a family of 6
  2. The cost-sharing subsidy can help limit how much you’ll have to pay out-of-pocket for your health care. This subsidy is only available on Silver plans purchased on the Insurance Marketplace. You may be eligible if your total household income is less than:
    • $29,175 for individuals
    • $39,325 for a family of 2
    • $49,475 for a family of 3
    • $59,625 for a family of 4
    • $69,775 for a family of 5
    • $79,925 for a family of 6