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HealthInsurance.org

Fact-Checks

121 results
Dec 15, 2025
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What are the 2026 federal poverty level amounts by household size and state for ACA subsidies?

The federal poverty guidelines used for ACA subsidy eligibility in 2026 restore traditional 100%–400% of FPL rules for most enrollees unless Congress extends enhanced subsidies; eligibility therefore ...

Dec 10, 2025
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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...

Dec 10, 2025
Most Viewed

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 6, 2025

How do enhanced ACA subsidies for 2025 calculate premium tax credit amounts by income?

Enhanced premium tax credits (ePTCs) in effect through 2025 cap a household’s required contribution to the benchmark (second‑lowest‑cost Silver) plan at no more than about 8.5% of their ACA‑specific m...

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...

Nov 18, 2025

Who qualifies for Obamacare subsidies and how much do they save?

Nearly all reporting agrees that Obamacare (the ACA) premium tax credits are tied to household income relative to the federal poverty level (FPL) and were temporarily expanded 2021–2025; in 2025 rough...

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 25, 2025

what is the poverty level for household of 2 2026

The federal poverty guideline for a household of two used for 2026 coverage (the 2025 guideline typically applied to 2026 Marketplace eligibility) is reported by multiple health-policy and enrollment ...

Dec 13, 2025

Which 2026 subsidy policy changes will most affect low-income families' healthcare access?

Congressional changes and new federal rules set to take effect in 2026 will sharply reshape who gets advance premium tax credits, how large those credits are, and when people can enroll — with the big...

Nov 14, 2025

Can you update ACA subsidy eligibility mid-year for income changes?

Yes — you can report income changes to the ACA Marketplace during the year and have your premium tax credit (advance subsidy) and cost‑sharing assistance adjusted; the Marketplace lets you update inco...

Dec 11, 2025

Which income sources are newly included or excluded under the 2026 MAGI rules for ACA subsidies?

Starting in the 2026 plan year, ACA subsidy eligibility reverts toward pre‑2021 rules: the 400% of federal poverty level (FPL) income cap returns for premium tax credits unless Congress extends the en...

Nov 24, 2025

How does household income count (pre-tax vs. after-tax, non-cash benefits) affect eligibility using the 2026 FPL?

Eligibility under the 2026 Federal Poverty Level (FPL) for ACA programs is determined using the prior year’s published poverty guidelines and a household income definition tied to tax reporting — spec...

Nov 21, 2025

What is the total estimated cost of extended ACA subsidies from 2022 to 2025?

Estimates in recent reporting put the federal gross cost of temporarily enhanced ACA premium tax credits at roughly $92 billion in 2023 and an estimated $138 billion in 2025, reflecting the expanded A...

Nov 17, 2025

How are ACA subsidy amounts calculated based on income?

Premium tax credits (ACA subsidies) are calculated from your household’s ACA-specific modified adjusted gross income (MAGI), the federal poverty level (FPL) for your household size, and the local cost...

Dec 9, 2025

How do the IRS MAGI calculation changes affect ACA premium tax credit eligibility for 2026?

Starting for the 2026 plan year, Marketplace premium tax credits will be recalculated against an ACA-specific MAGI that many sources say returns to stricter rules and higher “applicable percentages,” ...

Nov 20, 2025

How do the IRS's new MAGI changes affect premium tax credit eligibility for 2026 ACA plans?

Starting in 2026 the ACA subsidy rules are set to revert to a stricter, income‑based test: eligibility for Advanced Premium Tax Credits (APTCs) will generally return to a 100%–400% of federal poverty ...

Dec 12, 2025

What is the maximum income for cost-sharing reductions (CSRs) under the ACA in 2024?

Cost‑sharing reductions (CSRs) under the Affordable Care Act are limited to people who enroll in a Silver Marketplace plan and whose household income falls at or below 250% of the federal poverty leve...

Nov 22, 2025

What is the 2025 Federal Poverty Level (FPL) amount for a single-person and family of four, and how is it calculated?

The 2025 Federal Poverty Guidelines (often called the Federal Poverty Level, FPL) set the 100% FPL for a single person in the 48 contiguous states and DC at $15,650 and for a family of four at $32,150...

Dec 14, 2025

What income types are counted when calculating household income for ACA premium tax credits?

The Affordable Care Act calculates premium tax credit eligibility using your household’s Modified Adjusted Gross Income (MAGI) — essentially your tax return’s adjusted gross income (AGI) with a few ad...

Dec 7, 2025

Can people above 400% of FPL qualify for 2025 premium tax credits and under what circumstances?

Congress temporarily removed the 400%‑of‑FPL cap for premium tax credit (PTC) eligibility for tax years 2021–2025, so people with incomes above 400% FPL can qualify for 2025 credits if other rules are...