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Index/Topics/Federal Poverty Level and CSR Eligibility

Federal Poverty Level and CSR Eligibility

The eligibility criteria for Cost-Sharing Reductions (CSRs) based on the federal poverty level, including the impact on deductibles and out-of-pocket maximums for low-income enrollees.

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Jan 30, 2026

How do CSRs affect premiums and out-of-pocket maximums for 2026 silver plans?

Cost-sharing reductions () directly lower deductibles, copays and the out-of-pocket maximums for people who qualify and enroll in Silver Marketplace plans, effectively raising those plans’ actuarial v...