Health Insurance Subsidy Calculator

Find your ACA premium tax credit and compare marketplace plans

Updated April 2026 · 2026 FPL & ARPA extension
$
Annual Modified Adjusted Gross Income
Include yourself, spouse, dependents
Used to estimate benchmark premium

How to Use This Calculator

Tab “My Subsidy Amount”

Enter your household income (MAGI), household size, age, and filing status. The calculator computes your Federal Poverty Level percentage, determines the maximum premium you should pay as a percentage of income, and shows your estimated monthly premium tax credit — the amount the government pays toward your marketplace health insurance.

Tab “After-Subsidy Premium”

Same inputs, but the output shows your estimated monthly cost for each plan tier — Bronze, Silver, Gold, and Platinum — after applying your subsidy. Silver plans at lower income levels also include Cost-Sharing Reductions (CSR) that lower deductibles and copays, making Silver the best value for most subsidized enrollees.

Tab “Marketplace vs Employer”

Add your employer monthly premium and coverage type to compare costs. The calculator checks whether your employer plan is “affordable” under the ACA (employee-only premium under 8.39% of household income). If it is, you are not eligible for marketplace subsidies. If it is not, you may save significantly on the marketplace.

2026 ACA Subsidy Rules

Premium Tax Credit Formula:
Subsidy = Silver Benchmark Premium − (Your Income × Applicable Percentage)

2026 Federal Poverty Level (FPL):
1 person: $15,060  |  2 people: $20,440  |  3 people: $25,820  |  4 people: $31,200
Add $5,380 per additional household member

Sliding Scale — Max Premium as % of Income:
Income % FPLMax Premium % of Income
Up to 150%0%
150–200%0–2.0%
200–250%2.0–4.0%
250–300%4.0–6.0%
300–400%6.0–8.5%
400%+8.5% cap (ARPA extension)
Employer Affordability Threshold (2026): 8.39% of household income
If employee-only premium is below this threshold, you cannot get marketplace subsidies.

The American Rescue Plan Act (ARPA), originally passed in 2021 and extended through the Inflation Reduction Act, eliminated the “subsidy cliff” at 400% FPL. Before ARPA, households above 400% FPL received zero help. Now, premiums are capped at 8.5% of income for everyone, regardless of how high your income is. This extension is expected to continue through 2026.

Example

The Garcia Family — Family of 4, $60,000 Household Income

Household income (MAGI)$60,000/yr
Household size4 people
2026 FPL for family of 4$31,200
Income as % of FPL192%
Max premium (% of income)~1.7%
Max monthly contribution~$85/mo
Silver benchmark (age 40, family of 4)~$1,250/mo
Monthly subsidy~$1,165/mo
Annual subsidy value~$13,980/yr

The Garcia family receives approximately $1,165 per month in premium tax credits. Their Silver plan costs just $85/month instead of $1,250. They also qualify for Cost-Sharing Reductions, which lower their deductible from $3,000 to around $250 and reduce copays significantly. A Bronze plan would cost them $0/month, but without CSR benefits.

Frequently Asked Questions

Your premium tax credit equals the cost of the second-lowest-cost Silver plan (the “benchmark”) in your area minus your expected contribution. Your contribution is a percentage of your household income, determined by where you fall on the Federal Poverty Level scale. At 150% FPL or below, you pay $0. Between 150–400% FPL, you pay 0–8.5% of income. Above 400% FPL, premiums are capped at 8.5% of income thanks to the ARPA extension.
There is no hard income cutoff thanks to the ARPA extension. Before 2021, subsidies ended abruptly at 400% FPL (about $62,400 for a single person). Now, anyone can receive subsidies if the benchmark Silver plan premium exceeds 8.5% of their income. For a single person earning $100,000, the cap is $708/month — and if the benchmark premium exceeds that, they still get help.
Only if your employer’s plan is considered “unaffordable.” In 2026, a plan is unaffordable if the employee-only premium exceeds 8.39% of your household income. Since 2023, this test uses household income (not just the employee’s income) and considers only the employee-only premium cost, even if you need family coverage. If your employer plan fails the affordability test, your entire family can shop on the marketplace with subsidies.
The 2026 Federal Poverty Level is $15,060 for a single person in the 48 contiguous states and D.C., plus $5,380 for each additional household member. Key thresholds: 1 person = $15,060, 2 people = $20,440, 3 people = $25,820, 4 people = $31,200. Alaska and Hawaii have higher FPL amounts. Your income as a percentage of FPL determines the maximum percentage of income you pay toward premiums.
Cost-Sharing Reductions are extra savings available only on Silver plans for people with incomes between 100–250% FPL. CSRs reduce your deductible, copays, and out-of-pocket maximum. At 100–150% FPL, a Silver plan may have a deductible as low as $0–$75. At 150–200% FPL, deductibles are typically $250–$500. CSRs make Silver plans the best value for lower-income enrollees, even if Bronze premiums are lower.

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