Subsidized coverage - Glossary (2024)

Health coverage available at reduced or no cost for people with incomes below certain levels.

Examples of subsidized coverage include Medicaid and the Children’s Health Insurance Program (CHIP). Marketplace insurance plans with premium tax credits are sometimes known as subsidized coverage too.

  • In states that have expanded Medicaid coverage, your household income must be below 138% of the federal poverty level (FPL) to qualify.
  • In all states, your household income must be between 100% and 400% FPL to qualify for a premium tax credit that can lower your insurance costs.
  • If your income is at or below 150% FPL, you may qualify to enroll in or change Marketplace coverage through a Special Enrollment Period.
  • If your income is above 400% FPL, you may still qualify for savings on a 2022 Marketplace health insurance plan.

Related Content

Subsidized coverage - Glossary (2024)

FAQs

Subsidized coverage - Glossary? ›

Health coverage available at reduced or no cost for people with incomes below certain levels. Examples of subsidized coverage include Medicaid and the Children's Health Insurance Program (CHIP).

What is the difference between subsidized and unsubsidized insurance? ›

That's where subsidized, and unsubsidized insurance comes in. Subsidized insurance comes with more affordable premiums, with part of the cost being footed by help from a third party. With an unsubsidized insurance plan, you cater fully to all your insurance expenses.

How do I get a summary of benefits and coverage? ›

You can ask for a copy from your insurance company or group health plan any time. All health plans must provide the SBC at important points in the enrollment process, like when you apply for or renew your policy.

What is a subsidy in the Affordable Care Act? ›

The Affordable Care Act, also known as ACA or Obamacare, provides subsidies to qualifying individuals and families to help make coverage more affordable. The premium tax credit, in particular, lowers the premium cost for many Americans who purchase “Silver” plans on the federal or state Marketplaces.

Is it better to do subsidized or unsubsidized? ›

Students with unsubsidized loans do not get any breaks and interest starts to accrue as soon as the loan is paid out. Ultimately, it's best to use subsidized student loans if you qualify, as you will pay less over time than with unsubsidized loans.

What is the meaning of subsidized health insurance? ›

Health coverage available at reduced or no cost for people with incomes below certain levels.

What is the difference between SPD and SBC? ›

The SPD describes the plan's details, key features, and obligations. Your insurer or plan sponsor can't include specific SBC information in your SPD and vice versa. But, if you have a plan that requires an SPD and SBC, you may see a notation in your SBC about where to find a copy of your SPD.

What plans require an SBC? ›

SBCs are required for all major medical plans, most health reimbursem*nt arrangements (HRAs), and non-excepted Health Care FSAs (where the employer contributes more than a 100% matching contribution or $500, whichever is greater). Refer to www. dol. govfor more details on SBC Guidelines and Regulations.

What is the summary of benefits coverage requirements? ›

The SBC is a document intended to help consumers compare and select health insurance coverage that best meets their needs by providing easy-to-understand language of health plan benefits. The SBC cannot be more than four pages in length and must be printed in 12-point font or larger.

What is the $2600 stimulus check 2024? ›

$2600 Stimulus Checks Fact Check

The US Federal Government has approved the new $2600 Stimulus Checks in June 2024 for Seniors. This stimulus check will be paid to those people who are of the age of 65 years or above, disabled, or blind.

What is the highest income to qualify for Obamacare? ›

Obamacare subsidy income limits for 2024
Household sizeMin. incomeTypical max. income
2$19,720$78,880
3$24,860$99,440
4$30,000$120,000
5$35,140$140,560
1 more row
Jan 2, 2024

How long will healthcare subsidies last? ›

The Costs: What This Means for the Federal Budget

The Inflation Reduction Act extends these subsidies for three years (through 2025) – not permanently – though it is likely the average annual cost could be similar.

How does subsidy work? ›

Key Takeaways

A subsidy is a direct or indirect payment to individuals or firms, usually in the form of a cash payment from the government or a targeted tax cut. In economic theory, subsidies can be used to offset market failures and externalities to achieve greater economic efficiency.

Do subsidies have to be paid back? ›

By receiving additional federal subsidies, many taxpayers no longer qualify for the state subsidy they received and therefore must pay this amount back with their tax return.

What disqualifies you from the premium tax credit? ›

An offer of employer-sponsored coverage generally makes an employee ineligible for a premium tax credit. The exception is if the employer-sponsored coverage is unaffordable or fails to meet the minimum value standard.

Do I have to pay back subsidized loans? ›

Once you graduate, drop below half-time enrollment, or leave school, your federal student loan goes into repayment. However, if you have a Direct Subsidized, Direct Unsubsidized, or Federal Family Education Loan, you have a six-month grace period before you are required to start making regular payments.

Can you pay subsidized loans while in school? ›

You won't face any extra charges for starting your repayment before you graduate college. If you have not graduated, your Direct Subsidized Loans are not accruing interest. It's important to note that the federal government pays the interest for your Direct Subsidized loans while you're in college or in deferment.

What is the difference between a subsidized and unsubsidized loan which is better for your wallet? ›

The government covers the interest on subsidized loans while you're in school and during periods of deferment, while interest starts accruing immediately on unsubsidized loans. Both types of loans have access to the same suite of repayment plans.

What is the interest rate on a subsidized loan? ›

Loan Interest Rates and Fees
Undergraduate BorrowersGraduate or Professional Borrowers
6.53%8.08%
Direct Subsidized Loans and Direct Unsubsidized LoansDirect Unsubsidized Loans

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