Marketplace Subsidy Formula:
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The Health Insurance Marketplace Subsidy helps make health insurance more affordable for individuals and families. The subsidy is calculated based on your income and the cost of health insurance premiums.
The calculator uses the Marketplace Subsidy formula:
Where:
Explanation: The subsidy ensures you don't pay more than 8.5% of your income for the benchmark silver plan.
Details: Accurate subsidy estimation helps determine how much financial assistance you qualify for when purchasing health insurance through the Marketplace.
Tips: Enter your monthly premium amount and annual household income in dollars. Both values must be positive numbers.
Q1: What if my subsidy calculation is negative?
A: The subsidy will be displayed as $0 (you don't qualify for financial assistance).
Q2: What income should I include?
A: Include modified adjusted gross income (MAGI) for all household members required to file taxes.
Q3: Is this calculator accurate for all situations?
A: This provides an estimate. Actual subsidies may vary based on specific plan choices and household circumstances.
Q4: How often should I recalculate my subsidy?
A: Recalculate whenever your income changes significantly or during annual Open Enrollment.
Q5: Does this apply to all health insurance plans?
A: Subsidies are only available for plans purchased through the Health Insurance Marketplace.