Index/Organizations/healthcare.gov

healthcare.gov

U.S. government healthcare exchange website

Fact-Checks

244 results
Dec 11, 2025
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What are the 2025 federal poverty level income thresholds by household size?

The 2025 HHS poverty guidelines set the annual Federal Poverty Level (FPL) for the 48 contiguous states at $15,650 for a single-person household and $54,150 for an eight-person household, with per‑per...

Dec 12, 2025
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WHAT IS THE INCOME LEVEL BEING USED FOR 2026 aca POVERTY LEVEL

For 2026 ACA eligibility and employer affordability calculations, sources show (a) premium tax credit/subsidy eligibility will again be tied to the federal poverty level (FPL) bands (generally 100%–40...

Dec 18, 2025
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How many people are enrolled in Marketplace (Obamacare) plans and what share of the population do they represent?

The Affordable Care Act (ACA) marketplaces enrolled a record roughly 24.2–24.3 million people for 2025, according to federal and independent health-policy reporting . A precise statement of what share...

Dec 7, 2025

What income levels qualify for Obamacare premium tax credits in 2025?

For the 2025 coverage year, people must generally have household income at or above 100% of the federal poverty level (FPL) to qualify for the ACA premium tax credit; the temporary expansion that remo...

Nov 25, 2025

What are the 2025 Federal Poverty Level (FPL) annual and monthly amounts for each household size in the contiguous U.S.?

The 2025 HHS poverty guidelines for the 48 contiguous states (often called the Federal Poverty Level or FPL) list $15,650 as the annual FPL for a single person and add about $5,500 for each additional...

Dec 18, 2025

How to calculate your 2025 ACA subsidy dollar amount using the KFF Marketplace calculator

The KFF Health Insurance Marketplace Calculator estimates 2025 Marketplace premiums and the dollar value of ACA premium tax credits by using actual exchange plan prices and ACA rules; it produces an e...

Dec 10, 2025

How does MAGI get calculated for ACA subsidies in 2025 for mixed-earnings households (self-employed + wages)?

For ACA premium-subsidy purposes, MAGI starts with your federal adjusted gross income (AGI) and then adds back only three types of untaxed income: non-taxable Social Security benefits, tax-exempt inte...

Nov 13, 2025

Are standard deductions subtracted when calculating MAGI for ACA?

Standard deductions are not separately subtracted when the Affordable Care Act’s Modified Adjusted Gross Income (MAGI) is calculated; used by the ACA to determine subsidy eligibility (sources summariz...

Dec 10, 2025

How are Obamacare subsidy amounts calculated based on income and household size?

Obamacare (ACA) premium subsidies are calculated from your household’s estimated annual modified adjusted gross income (MAGI) and household size, compared against the federal poverty level (FPL) and t...

Dec 12, 2025

How are ACA premium tax credits calculated for 2025 and 2026?

For 2025, the premium tax credit (PTC) calculation uses the enhanced rules in place through 2025: the PTC caps a household’s required contribution to the benchmark (second‑lowest‑cost silver) plan at ...

Dec 13, 2025

How do ACA subsidies phase in and out based on income levels?

Enhanced premium tax credits running through 2025 make ACA subsidies calculate as a sliding scale tied to the benchmark (second‑lowest‑cost Silver) plan so households pay no more than a capped percent...

Dec 12, 2025

Upper limit for fami ly of two to get Obamacare

For 2025 coverage, eligibility for ACA premium tax credits is generally tied to the federal poverty level (FPL) and historically used a 100%–400% FPL band — which for a two-person household correspond...

Dec 13, 2025

What are the 2025 federal poverty level income ranges for different household sizes used to calculate ACA premium tax credits?

For 2025 coverage the U.S. Department of Health and Human Services set the baseline federal poverty guideline for the 48 contiguous states and D.C. at $15,650 for a single person; for larger household...

Dec 11, 2025

Which specific premium tax credits under the ACA are scheduled to expire at the end of 2025 or in 2026?

The only specific ACA credits identified in the sources as scheduled to change are the "enhanced" premium tax credits (ePTCs) — the post‑2020 expansions enacted by the American Rescue Plan and extende...

Dec 9, 2025

Where can I find the official 2026 Medicaid income charts and calculator by state?

The definitive place to get official, state-by-state 2026 Medicaid income charts and calculators is your state Medicaid agency or your state’s health insurance marketplace; many states publish 2026 in...

Dec 3, 2025

How are 2026 FPL percentages (100%, 138%, 150%, 200%, 250%, 400%) used to determine eligibility for Medicaid, CHIP, ACA subsidies, and SNAP?

In 2026 eligibility for major benefits ties to tiers of the federal poverty level (FPL): Medicaid expansion typically covers up to 138% FPL while ACA premium tax credits generally apply between 100%–4...

Nov 10, 2025

How have ACA subsidies changed under Biden administration?

The Biden administration materially expanded Affordable Care Act (ACA) subsidies first through the American Rescue Plan Act in 2021 and then by extending those enhancements through 2025 via the Inflat...

Dec 10, 2025

How do 2026 poverty guidelines affect Medicaid and CHIP income eligibility?

The 2026 federal poverty guidelines determine the income thresholds states use to decide Medicaid and CHIP eligibility, but most states will continue using the 2025 FPL numbers for early‑2026 eligibil...

Nov 16, 2025

2025 Federal poverty level for household of two

The 2025 HHS poverty guideline for a two-person household in the 48 contiguous states and D.C. is $21,150 per year (about $1,762.50 per month) as published in the HHS/ASPE tables and reproduced by sta...

Nov 18, 2025

How much must I repay for excess advance premium tax credits in 2025?

For tax year 2025 you must reconcile any advance premium tax credit (APTC) you received with the premium tax credit you’re actually eligible for, and repay any excess; for households at or above 400% ...