The Premium Tax Credit Subsidy Caps By Percentage of Household Income for SLCSP 2021

Premium tax credit caps on 2021 marketplace coverage range from 2.07% – 9.83% of income based on the 2020 federal poverty level.[1]

Premium tax credits are tax credits that can be taken in advance as Advanced Premium Tax Credits or at tax time as Premium Tax credits (or you can do a mix). Premium tax credits cap premium spending for a family based on MAGI income compared to the federal poverty level and are based on the cost of the second lowest silver plan (SLCSP) in a state’s Marketplace. To qualify you must purchase a marketplace plan.

The chart below shows the minimum and maximum percentage of the household income that a person will pay for that plan. The amount you’ll pay is based on your household income (compared to the federal poverty level) and is adjusted based on the price of the plan chosen.

Here are the Premium Tax Credit Subsidy Caps for 2020 from Rev. Proc. 2020-36:

Income 2020
Less Than 133% FPL 2.07%
At least 133% but less than 150% 3.10% – 4.14%
At least 150% but less than 200% 4.14% – 6.52%
At least 200% but less than 250% 6.52% – 8.33%
At least 250% but less than 300% 8.33% – 9.83%
At least 300% but not more than 400% 9.83%

NOTE: To qualify for tax credits you must make between 100% – 400% of the poverty level (FPL). If your state expanded Medicaid you will be eligible for Medicaid instead of tax credits below 133% (or 138% adjusted) FPL.

Citations

  1. Premium tax credit caps for 2021 are published in Rev. Proc. 2020-36.