Premium tax credits lower the monthly premium for marketplace plans. They're the main reason most marketplace shoppers pay far less than the sticker price.
Who qualifies
Generally, people who buy through HealthCare.gov or a state marketplace, have household income between 100% and 400% of the federal poverty level, and can't get affordable coverage from a job, Medicare or Medicaid. In states that expanded Medicaid, adults below 138% of the poverty level usually qualify for Medicaid instead.
Licensed agents compare plans from several carriers, check your doctors and estimate your subsidy. Free to you.
Call 866-645-8540What changed
From 2021 through 2025, enhanced subsidies removed the 400% income cap and made coverage cheaper at every income level. Those enhancements have ended. For 2027 coverage, households above 400% of the poverty level generally don't get a credit, and the share of income people below that line are expected to pay is higher than in recent years.
How the credit is calculated
The credit is the difference between the cost of the benchmark (second-lowest silver) plan where you live and the amount you're expected to contribute based on income. You can apply it to any metal level.
Avoiding a tax-time surprise
The credit is based on an estimate of your income. If you end up earning more, you may have to pay some or all of it back when you file taxes. Report income changes during the year, especially if you're self-employed.
Get the number for your household
A licensed agent can estimate your credit and compare plans after the credit is applied.
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