Save on health insurance - Cost Sharing Reduction and Advance Premium Tax Credit

To help make coverage more affordable, the federal government sets a maximum on how much consumers should pay for health insurance, and offers help to pay for monthly premiums (Advance Premium Tax Credit) and reduce out-of-pocket costs (Cost Sharing Reduction).

Advance Premium Tax Credit (APTC)

  • You qualify for these tax credits if your household income is between 100% and 400% of the federal poverty level (FPL).
  • Tax credits, or subsidies, can be applied as soon as you qualify to help lower your monthly premium costs.
  • You determine your APTC eligibility before you buy a health plan on the Health Insurance Marketplace or priorityhealth.com.

Cost Sharing Reduction

  • Cost Sharing Reduction lowers the amount of your out-of-pocket costs (such as deductible, copayments, coinsurance) and your monthly premium.
  • You qualify if:
    • Your income falls between 150% - 250% of the federal poverty level
      and
    • You choose a Silver plan