What is the marketplace premium tax credit?
Emma Jordan
Published Apr 07, 2026
The premium tax credit is a refundable tax credit designed to help eligible individuals and families with low or moderate income afford health insurance purchased through the Health Insurance Marketplace, also known as the Exchange. The size of your premium tax credit is based on a sliding scale.
Do you have to pay back premium tax credit for health insurance?
When you apply for coverage in the Health Insurance Marketplace®, you estimate your expected income for the year. If at the end of the year you’ve taken more premium tax credit in advance than you’re due based on your final income, you’ll have to pay back the excess when you file your federal tax return.
Your tax credit is based on the income estimate and household information you put on your Marketplace application. Income between 100% and 400% FPL: If your income is in this range, in all states you qualify for premium tax credits that lower your monthly premium for a Marketplace health insurance plan.
Do I have to pay back Obamacare tax credit?
You won’t have to repay any part of your premium credits, no matter how high your 2021 income turns out to be. If the unemployment exception doesn’t apply, the amount you’ll have to pay back depends on your family income.
How does the premium tax credit work for marketplace?
When you enroll in Marketplace insurance, you can choose to have the Marketplace compute an estimated credit that is paid to your insurance company to lower what you pay for your monthly premiums (advance payments of the premium tax credit, or APTC).
Is the 8.5% cap used to calculate premium tax credits?
The 8.5% cap is used to calculate this increase in premium tax credit amounts, but the cost of the plan a consumer chooses to enroll in may be higher or lower than the benchmark plan. Individuals and families get a temporary boost in their premium tax credits.
Where do I put my premium tax credit?
Contact the Marketplace Call Center. If you paid full price for your health plan, Part III, Column C should be blank or have the number “0.” You don’t have to fill out or include Form 8962, Premium Tax Credit, when you file your federal taxes. Keep your Form 1095-A with your other tax records.
What are the income requirements for the premium tax credit?
Income Criteria. If your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.