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The Daily Insight

Who is eligible for premium subsidy?

Author

Mia Ramsey

Published Feb 22, 2026

To qualify for premium subsidies, you must earn at least 100% of the poverty federal poverty level (FPL). In most states, Medicaid eligibility has been expanded to cover people with income up to 138% of the poverty level, so premium subsidy eligibility starts above that level.

Can I get a subsidy for employer health insurance?

The only ways you can qualify for a subsidies are: The plan doesn’t meet the minimum value standard: the employer-sponsored plan is required to pay at least 60% of the total cost of medical services for a standard population and offer substantial coverage of hospital and doctor services.

How does healthcare subsidy work?

Obamacare offers subsidies, also known as tax credits, that work on a sliding scale. They limit the amount you pay in monthly premiums to a percentage of your annual income. Most people are eligible for subsidies when they earn 400% or less of the federal poverty level.

How do I know if I qualify for Obamacare subsidy?

You qualify for subsidies if pay more than 8.5% of your household income toward health insurance. In 2021, premiums will drop on average about $50 per person per month or $85 per policy per month. If you already enrolled in an ACA plan and got a subsidy, you can change your plan and get the added savings.

What makes you eligible for a health insurance subsidy?

The main factor is your income. You can qualify for a subsidy if you make up to four times the Federal Poverty Level. That’s about $47,000 for an individual and $97,000 for a family of four.

Do you qualify for tax credits for health insurance?

Marketplace insurance plans with premium tax credits are sometimes known as subsidized coverage too. In states that have expanded Medicaid coverage, your household income must be below 138% of the federal poverty level to qualify. In all states, your household income must be between 100% and 400% of the federal poverty level…

Are there any health insurance subsidies under the ACA?

One of these health insurance subsidies is the premium tax credit which helps pay your monthly health insurance premiums. Despite significant debate in Congress over the last few years, nothing has changed about the availability of subsidies under the ACA.

What are the income requirements for health insurance?

In all states, your household income must be between 100% and 400% of the federal poverty level to qualify for a premium tax credit that can lower your insurance costs. Looking for 2020 coverage? Start here