What Are Subsidies Based On?

What Are Subsidies Based On?

What Are Subsidies Based On?
2 minute read time

Seeing your shopping total get lower at the cash register is a satisfying experience. From coupons to discount codes, many of us utilize what we can to optimize our budget.

The healthcare marketplace has a cost-reducing option too. The Affordable Care Act leaving site icon (ACA) health insurance subsidies are designed to lower the out-of-pocket cost for your monthly premium.

What Are Subsidies?

Subsidies are discounts that lower our monthly premium (the cost you pay each month) and your out-of-pocket costs (like deductibles and co-pays). The government offers two options – a Premium Tax Credit leaving site icon (PTC) which lowers your monthly bill and a Cost-Sharing Reduction leaving site icon (CSR) which lowers what you pay when you get care for select plans.

What Are Subsidies Based On?

The ACA subsidies, or premium tax credits, depend on:

  • Your income
  • Your family size
  • Where you live
  • Whether you have access to other insurance options
Can I Qualify for Financial Help?

You may qualify for financial help if your household income is between or above certain federal poverty level (FPL) guidelines. For example, you may qualify if your income is between $31,000 and $120,000 for a family of four. This can vary by state, as some states have higher health insurance costs than others. This also depends on how many people live in your household.

How To Check

When you apply on Get Covered Illinois leaving site icon marketplace and answer a series of questions, the website will tell you right away if you qualify for help.

Will Financial Help Be Available Next Year?

Even if you did not get a subsidy last year, you may qualify this year. Subsidy options may change but so do incomes and family situations. With these changes in mind, it’s important to be informed about your health plan options. Always check during the Open Enrollment Period.

Need Help?

Blue Cross and Blue Shield of Illinois will always keep an eye on marketplace changes. We’ll give you the best plan options we can. We’re here to help you navigate changes and find your ideal coverage for next year.

To learn what financial help may be accessible to you, call 877-731-4649 or visit bcbsil.com. Or contact an independent, authorized agent for BCBSIL.