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Analysis Of Income Limits For Subsidies * Phaseout levels: After earning an income of $100,400 or higher for a family of four, $83,120 for a family of three, $65,840 for a married couple with no kids, and $48,560 for single individuals, you will no longer receive government health care subsidies.
You should find this amount on your pay stub. If it's not on your pay stub, use gross income before taxes. Then subtract any money the employer takes out for health coverage, child care, or retirement savings. Multiply federal taxable wages by the number of paychecks you expect in the tax year to estimate 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. If you're an individual who makes about $29,000 or less, or a family of four that makes about $60,000 or less, you may qualify for both subsidies.
MAGI is adjusted gross income (AGI) plus these, if any: untamed foreign income, non-taxable Social Security benefits, and tax-exempt interest. For many people, MAGI is identical or very close to adjusted gross income. MAGI doesn't include Supplemental Security Income (SSI).
The income cap for subsidy eligibility (For 2020 coverage, that upper income cap is $49,960 for a single person and $103,000 for a family of four.)
Cost-sharing subsidies work by reducing a person or family's out-of-pocket cost when they use health care services, such as deductibles, co-payments, and coinsurance. Unlike the premium tax credit (which can be applied toward any metal level of coverage), cost-sharing subsidies can only be applied toward a silver plan.
A subsidy is financial assistance that helps you pay for something. The Advanced Premium Tax Credit lowers your monthly health insurance payment, or premium. Cost Sharing Reduction reduces the out-of-pocket costs you pay during a policy period (usually a year) for health care services you receive.
If you earned more than you estimated, and you got a subsidy for your health insurance, you may have to pay back some subsidy. The maximum amount of payback is tied to your actual income.
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