May 12, 2021
2 minute read

Are You Eligible for a Subsidy? Check With an ACA Subsidy Calculator

Did you know that you may be eligible for lower-cost health insurance? Affordable Care Act (ACA) subsidies could be beneficial to you, and as of March 2021, the American Rescue Plan Act has expanded the eligibility requirements. This means that more Americans may be eligible for reduced premiums, no premiums at all, or health insurance subsidies.1

An ACA subsidy calculator can help estimate your potential savings – you could even qualify for a $0 health insurance plan!

Let’s explore why subsidies exist and discuss how an ACA subsidies calculator can help you.

ACA Subsidies Help Lower Health Insurance Costs

The cost of health insurance can be above the household budget for many families. In an effort to make insurance plans more affordable, as well as increase the amount of Americans receiving health coverage, the U.S. government provides subsidies for Affordable Care Act (ACA) health insurance plans. Subsidies work in two basic ways with ACA plans: premium tax credits and cost-sharing reductions. Both of these are government-provided methods to reduce the cost of health insurance for families and small businesses.

How Are ACA Subsidies Calculated?

Affordable Care Act (ACA) subsidies are calculated by considering your household income, age, the size of your family, your location in the U.S., and a few other factors, which are covered below. These variables can impact what sort of subsidy you can qualify for.

Using an ACA Subsidy Calculator

Here is the information you need to use an Affordable Care Act (ACA) subsidy calculator:

  1. Your state of residence
  2. How you will enter your income (current year in dollars or percent of poverty level)
  3. Your household income or percent of federal poverty level (FPL)
  4. Your available coverage (e.g. Do you have available coverage from your spouse’s job?)
  5. The number of people in your family (adults and children)
  6. If you received or were approved to received unemployment compensation at any point in 2021

The calculator will not ask for your contact information. Don’t worry if your income isn’t exactly correct. You can easily change any details you’ve used. The calculator will estimate:

  • Your eligibility for an ACA subsidy
  • What you will most likely pay with financial help
  • What you will most likely pay without any financial help

The calculator will also offer some useful tips about selecting plans and coverage levels.

HealthMarkets Can Help You Find Coverage

Need assistance locating an Affordable Care Act (ACA) health insurance plan for you and your loved ones after using the ACA subsidies calculator?

The innovative HealthMarkets FitScore® can help you review your options and find the health insurance coverage that best fits your needs, at no cost to you.

Answer a few brief questions about what’s important to you, and we’ll use your responses to rank health insurance plans in a personalized list, so you can choose coverage with confidence.

Start comparing plans with the HealthMarkets FitScore today.

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© 2024 HealthMarkets Insurance Agency. All rights reserved.

* Medicare Advantage, Medicare Supplemental Insurance, and Part D options can be explored.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

47505-HM-0521

© 2024 HealthMarkets Insurance Agency. All rights reserved.

* Medicare Advantage, Medicare Supplemental Insurance, and Part D options can be explored.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

47505-HM-0521

© 2024 HealthMarkets Insurance Agency. All rights reserved.

* Medicare Advantage, Medicare Supplemental Insurance, and Part D options can be explored.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

47505-HM-0521