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Qualifying for Obamacare subsidies You must be a US citizen or legal resident. You cannot be currently incarcerated. Your income can be no more than 400 percent of the federal poverty level. According to the Federal Register, in 2018 the poverty level for an individual is $12,140.
If you buy a plan through the marketplace and your income is between $12,490 and $31,225 for a single person ($21,330 to $53,325 for a family of three), you can also qualify for help with cost sharing.
Subsidy eligibility is based on income (ACA-specific MAGI): You have to earn at least 100 percent of the federal poverty level (139 percent of the poverty level in states that have expanded Medicaid), but not more than 400 percent of the poverty level.
Qualifications: An individual earning under $17,237 a year or a family of four with an annual household income less than $35,535 qualifies for Medical.
Obamacare subsidy pay back — income underestimation. The Premium Tax Credit (“subsidy”) is based on your annual income, not just the months you had Marketplace insurance. So if your annual income is higher than what you told the Marketplace, you will need to repay part (or all) of the Advance credit that you received.
The maximum payback rises gradually to $1,250 for an individual and $2,500 for a family for those earning 300 percent to 399 percent of the poverty level, and, for those at 400 percent of poverty and higher, you must pay back all the overpayment.
If I get an Obamacare subsidy in the exchange, is the subsidy amount considered income? A. No. The subsidies (both premium assistance tax credits and cost-sharing) are not considered income and are not taxed.
Overestimating Your Income If you overestimated your income for the year, then the subsidy the government paid in advance to your insurer was smaller than it should have been. No harm. No foul. The difference will be added to your tax refund or will decrease the amount of taxes you owe.
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