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

2015 Federal poverty guidelines

Note: The 100% column shows the federal poverty level for each family size, and the percentage columns that follow represent income levels that are commonly used as guidelines for health programs.

Household size 100% 133%  150% 200% 250% 300% 400%
1 $11,770 $15,564 $17,655 $23,540 $29,425 $35,310 $47,080
2 $15,930 $21,187 $23,895 $31,680 $39,825 $47,790 $63,720
3 $20,790 $26,720 $30,135 $40,180 $50,225 $60,270 $80,360
4 $24,250 $32,253 $36,375 $48,500 $60,625 $72,750 $97,000
5 $28,410 $37,785 $42,615 $56,820 $71,025 $85,230 $113,640
6 $32,570 $43,318 $48,855 $65,140 $81,425 $97,710 $130,280
7 $36,730  $48,851 $55,095 $73,460 $91,825 $110,190 $146,920
8 $40,890 $54,384 $61,335 $81,780 $102,225 $122,670 $163,560

Calculations based on figures provided by the Department of Health and Human Services.