What If Income Is Just Under ObamaCare Threshold?


We have reported that our joint income will be 25,000 for this tax year. If our income falls slightly below this amount, will we still be eligible for Obama Care or would this negatively affect us? I understand that the limit to be eligible is 12500 per person..

Leave a comment

We'll never share your email with anyone else.

1 2 3 4 5

This site uses Akismet to reduce spam. Learn how your comment data is processed.

I applied for Marketplace plan. I am single with a 19 year old full time student that works part time. I claim him as a dependent even though he fills out a 1040 for self-employment. The application automatically says he will not file a 1040. I cannot change it online. However, it does not add his income to mine. It goes only be my income of 11,600 and says we don’t qualify. Jointly we have a little over 17,000 for the household. Why didn’t they combine the incomes? Neither of us qualify and our state did not opt to expand Medicaid for low income homes.

Reply

If you claim him as you dependent for tax purposes, then I would think that you would file 1040 as a family and he wouldn’t file on his own. If you file taxes together, then you can get coverage together as a family. Something seems to be not right here, it is I think either in the way you are filing or in what the marketplace is saying. You may want to call again or check with a local accountant or accounting service for advice here.

Reply

What if pass through business losses (S Corp) bring personal AGI below the ACA/Medicaid threshold? Is there a penalty or do subsidies need to be repaid?

Reply

Businesses can’t use the individual marketplace, if you are an individual with individual insurance and a passthrough, then your assistance is based off your MAGI. Your MAGI is tallied up after your pass through income is accounted for, so any tax breaks you get lower your AGI/MAGI. How that effects you is dependent on your MAGI compared to the poverty level, your family size, and what if any assistance you are currently getting.

That is how it should work. You would want to verify that all with a professional.

Reply

I’m self employed and had Pre-paid Obamacare tax credits for 2016 but ended up making about 50% of the federal poverty level for a single person. Will I have to pay back those tax credits? Thanks

Reply

No, if you go under (not over) you only owe the fee up to the repayment limit… unless Trump changes this. The GOP has suggested changing in the past (so you would owe more). I feel like people don’t always get what their actual plan is, or focus more on “not liking Democrats”. I get that. But some of their actual plans are pretty nasty, that is one.

But yea, for now, it works like this: https://obamacarefacts.com/advanced-tax-credit-repayment-limits/

Reply

Thanks for your time and explanation.

Reply

When I got my 2016 coverage, I planned to be over the 100% level. I also did not take a credit because I feared having to pay back money if my income went up. Well, my income went down and is now below the poverty level for the year. The way I am now understanding this is that I have paid $2600 in insurance, made less than $10K this year, and will get no premium tax credit. Please tell me this is wrong. The healthcare.gov folks were no help.

Reply

I received Obama care after being layed off in 2015 after I found a gob in 2016 I have been there three months and am eligible for company insurance which is very expensive. I make well under 25k do I need to take it or can I stay on Obama care

Reply

https://obamacarefacts.com/affordable-employer-sponsored-coverage/

If you meet the exemption requirements then you can get cost assistance, either way you can opt to use the marketplace instead or opt to have no coverage.

Large employers must offer, employees don’t have to accept.

Reply

what if your income gos up due to one member of the family which can now collect ss#. will you be subject to fees or fines. for example you now get 1000, month from ss#. but when you applied you did not collect the ss.

Reply

We may need to avoid some deductions on our 4/15/16 1040 depending on whether we are a 2 or 3 person household. My wife and I live alone except for our daughter who is in school, 23 years old, and out of state. We cover her with our ACA policy and pay an increased premium as a result, but we do not claim her as a dependent on our taxes. [She is not eligible for a separate ACA policy because her income is too low.] ARE WE A 2 PERSON HOUSEHOLD OR A 3 PERSON HOUSEHOLD FOR THE MINIMUM INCOME REQUIREMENTS OF THE ACA?

Reply

The household size is based on filing status. If you file for 3 then your household income is for 3 and you are responsible for ensuring everyone has coverage (or paying the fee).

Reply
ObamaCareFacts is a free informational site. It's privately owned, and is not owned, operated, or endorsed by the US federal government or state governments. Our contributors have over a decade of experience writing about health insurance. However, we do not offer professional official legal, tax, or medical advice. See: Legal Information and Cookie Policy. For more on our company, learn About ObamaCareFacts.com or Contact us.