Saving money on health insurance

How to save on your monthly insurance bill with a premium tax credit

When you apply for Marketplace coverage, you’ll find out if you qualify for the "premium tax credit" that lowers your premium — the amount you pay each month for your insurance plan.

The amount of your premium tax credit depends on the estimated household income for the year you want coverage that you put on your Marketplace application.

You can apply some or all of this tax credit to your monthly insurance premium payment. The Marketplace will send your tax credit directly to your insurance company, so you’ll pay less each month. This is called taking an "advance payment of the premium tax credit."

When your income changes, so does your premium tax credit

If your income changes, or if you add or lose members of your household, your premium tax credit will probably change too.

It’s very important to report income and household changes to the Marketplace as soon as possible.

If at the end of the year you’ve taken more advance payments of the premium tax credit than you’re eligible for, you may have to pay money back when you file your federal income tax return. This is called “reconciling” the advance payments of the premium tax credit and the actual premium tax credit you qualify for based on your final income for the year.

More answers: Premium tax credits

My eligibility results say I’m also eligible for "cost-sharing reductions." What does that mean?

In addition to a premium credit, your income qualifies you to save on the out-of-pocket costs you pay whenever you get health care, like deductibles and copayments. But you get these additional savings only if you buy a plan in the Silver category. Learn about cost-sharing reductions.

What if my income is too high for a premium tax credit?

You can still use the Marketplace to buy a health plan without a premium tax credit. You can also buy a plan outside the Marketplace, where you may find more options.

Can I appeal a decision about whether I qualify for a premium tax credit?

If you think we made a mistake when you get your eligibility results in the Marketplace, you have the right to appeal.