(1) The Medicaid eligible amount is shown for household incomes up to 138% of the Federal Poverty level. This is the number used in many states that have expanded Medicaid programs. If you live in a state that hasn't expanded its Medicaid program and you have limited income, you may want to contact your state Medicaid office to determine your coverage options. For more information about this, see this article.
(2) If you're married, you must file a joint federal tax return for the year you want coverage in order to qualify for premium tax credits and other savings. Under the Affordable Care Act, eligibility for subsidized health insurance through the Marketplace is calculated using a household’s Modified Adjusted Gross Income (MAGI). For more information about how to calculate this income, click here.
(3) Premiums rates are based on 2nd lowest cost Silver Plan for each state rating area from the plans listed with Healthcare.gov, CMS Federal Poverty data, multi-tiered age rating, annual income entered by the user, state rating area derived from provided ZIP code and county.
(4) Federal Law allows up to a 50% rate increase for tobacco users over non-tobacco users. Rate increase is not expressed here, and actual rate increase is determined by the state. Subsidies cannot be used to cover the portion of the premium that is due to a tobacco surcharge.
(5) For the state of NY and VT tax credits are dependent on family structure and not the age of applicants. We are currently in the process of updating the application with this logic. As a result, tax credit estimates for families with 3 or more adults might be lower than the final eligibility determination during the application process.
(6) Please note that for the state of CA not all carriers offer all plans in every zip code within a rating area. As a result, the Tax Credit estimates shown here for certain regions in CA might be lower than the final eligibility determination during the application process.