Financial Assistance

To help make health care more affordable, the ACA created two types of financial assistance, known as subsidies:

  1. A premium subsidy (the Advanced Premium Tax Credit) can help reduce your monthly premium so you pay less for your health plan each month. Once you apply, your tax credit will be sent to CareFirst and applied to your bill, reducing or even eliminating your premium (excludes the BlueChoice Young Adult plan).
  2. The Cost-sharing Reduction Subsidy helps to limit how much you spend out-of-pocket on expenses like copays, coinsurance and deductibles. By lowering your maximum, your health plan begins paying costs sooner than it would have without the subsidy. Note: Cost-sharing subsidies are only for Silver level plans bought on an Insurance Marketplace or Exchange.

    To get an estimate of what you may receive in financial assistance, check out our Subsidy Calculator. Just enter your zip code, date of birth and select "I’m interested in a subsidy from the government" to see if you are eligible.

In order to qualify and receive financial assistance, you will need to apply for the subsidy on the Insurance Marketplace or Exchange and buy your plan from there. Financial assistance is not available if you purchase your health insurance directly from CareFirst.

Premium SubsidyCost-Sharing Reduction Subsidy
You may quality for the premium subsidy, which will help with monthly premiums, if your total household income is less than*:
  • $49,960 for individuals
  • $67,640 for a family of 2
  • $85,320 for a family of 3
  • $103,000 for a family of 4
  • $120,680 for a family of 5
  • $138,360 for a family of 6
You may be eligible for the cost-sharing subsidy if your total household income is less than*:
  • $31,225 for individuals
  • $42,275 for a family of 2
  • $53,325 for a family of 3
  • $64,375 for a family of 4
  • $75,425 for a family of 5
  • $86,475 for a family of 6

Your 2020 eligibility for financial assistance is based on your estimated 2019 income.

Take a moment to see if you qualify:

* Based on 2019 federal poverty levels.