About Subsidy Calculator
Premium and subsidy calculator for the Affordable Care Act (Obamacare)
This Subsidy Calculator is based on formulas and regulations defined by the Affordable Care Act (ACA/Obamacare). The law created a system that provides financial help to low and middle income families in the form of a “subsidy.” Subsidies are primarily based on two criteria: your eligible “cap rate” and the cost of the “second cheapest Silver Plan” in your area.
The premium cap rate limits how much money families have to pay for health insurance a month based on their income level relative to the official Federal Poverty Level (FPL). If an individual earns $12,760 a year, for example, they are 100% of the FPL.
To then determine the subsidy amount, the government covers all costs above the price of the “second cheapest silver plan” in your area.
There is no longer a federal tax penalty for not have a major medical plan in place either through a federal or state exchange or group employer. There are some states that impose a penalty under state law for being uninsured, they are: California, Massachusetts, New Jersey, Rhode Island, Vermont.
This tool is for research purposes only. The results shown are estimates and are calculated based on the information provided by the user and based on the data sets released to the public. Healthcare.gov and the Internal Revenue Service determines the final subsidy amount. HealthNetwork makes no representations or warranties about the accuracy of the information provided and we advise all users to confirm any research with their respective health insurance companies and health exchanges.