You Can Get Cost Assistance on Health Insurance Based on Income
You can get cost assistance based on income to lower your health insurance premiums and out-of-pocket costs.
Each assistance type has different income requirements based on the Federal Poverty Level. The chart below presents an overview of eligibility for cost assistance under the Affordable Care Act (Obamacare):
* Not all states have expanded Medicaid. Some states have their own eligibility requirements.
** Medicaid/CHIP eligibility will be updated when the new Federal Poverty level data is published in early 2023.
*** CHIP eligibility differs by age and is expanded to pregnant women and caretakers in some states.
| Type of Cost Assistance | Federal Poverty Level % | Individual Annual Income | Family of Four Annual Income |
|---|---|---|---|
| Medicaid* | 0% – 138%** | Up to $18,754** | Up to $38,295** |
| CHIP*** | A high as 318% Differs by state | ||
| Premium Cost Assistance | 100% – 400% | $13,590 – $54,360 | $27,750 – $111,000 |
| Out-of-Pocket Cost Assistance (Silver plans only) | 100% – 250% | $13,590 – $33,975 | $27,750 – $69,375 |
2023 Subsidy Calculator
Want to know how much cost assistance you qualify for? Check out the following subsidy calculator to get an estimate of how much you’ll save on health insurance in 2023.
Thomas DeMichele
Thomas DeMichele has been working in the online health insurance information space for over a decade. His works include ObamaCareFacts.com, which has been used by nearly 40 million Americans since 2012 to learn about healthcare and health insurance.