Subsidy Formula:
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Definition: This calculator estimates the monthly premium subsidy you may qualify for under the Affordable Care Act (ACA) based on your income and health insurance premium.
Purpose: It helps individuals and families determine how much financial assistance they might receive when purchasing health insurance through Healthcare.gov.
The calculator uses the formula:
Where:
Explanation: The calculator determines if your premium exceeds the expected contribution based on your income, and calculates the difference as your subsidy.
Details: Accurate subsidy estimation helps with budgeting for health insurance costs and understanding your potential savings under the ACA.
Tips: Enter your monthly premium, annual household income, and the applicable percentage (default 8% or 0.08). The percentage is based on federal poverty level guidelines.
Q1: What is the typical percentage range?
A: For 2023, percentages range from 0% (at 100% FPL) to 8.5% (at 400%+ FPL) of income for benchmark plans.
Q2: How is annual income converted to monthly?
A: The calculator automatically divides annual income by 12 for monthly calculations.
Q3: What counts as income for this calculation?
A: Modified Adjusted Gross Income (MAGI) including wages, self-employment, and other taxable income.
Q4: Does this calculator account for household size?
A: No, the percentage should already reflect your household size relative to federal poverty levels.
Q5: Where can I find my exact applicable percentage?
A: The exact percentage is based on federal poverty level tables and is available on Healthcare.gov.