To help make health care more affordable, the ACA created two types of financial assistance, known as subsidies:
- 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).
- 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 Subsidy||Cost-Sharing Reduction Subsidy|
|You may quality for the premium subsidy, which will help with monthly premiums, if your total household income is less than*:
||You may be eligible for the cost-sharing subsidy if your total household income is less than*:
Your 2017 eligibility for financial assistance is based on your estimated 2016 income.
Take a moment to see if you qualify:
NOTE: If you qualified for a subsidy in 2016 and did not elect automatic reassessment, you need to contact the Insurance Marketplace and be re-evaluated for financial assistance for 2017 during Open Enrollment, November 1 – January 31. If you want your 2017 subsidy to begin January 1, you must complete the eligibility process by December 15.
* Based on 2016 federal poverty levels.