Federal Poverty Guidelines for 2018 Insurance Premium Subsidies

Federal Poverty Guidelines for 2018 Insurance Premium Subsidies

Under the Affordable Care Act the federal government is granted the authority to offer health insurance premium subsidies (also referred to as advanceable tax credits) on a sliding scale to help individuals and families afford health insurance.

Insurance premium subsidies are only available for plans purchased on the Federal Health Insurance Marketplace, or one of the state-run health insurance exchanges established under the Affordable Care Act.

2018 Federal Health Insurance Premium Subsidies are available to individuals and families:

  • Who enrolled or will enroll during the Annual Open Enrollment Period
  • Who qualify to enroll in a health insurance plan during a Special Enrollment Period

Federal Insurance Premium Subsidies are based on 2015 Federal Poverty Guidelines (FPGs)

In order to qualify for 2018 Federal Health Insurance Premium Subsidies, you must:

  1. Be a legal U.S. resident;
  2. Not be eligible for Medicare or Medicaid;
  3. Purchase a health insurance plan on a state-run exchange of the Federal Health Insurance Marketplace AND have an annual household income between 100% and 400% of the Federal Poverty Level, as established by the 2016 Federal Poverty Guidelines.

The 2017 Federal Poverty Guidelines, which determine 2018 insurance premium subsidies, are higher than the 2016 FPGs, which were used to establish insurance premium subsidies in 2016. That means, if you made slightly too much to qualify for subsidy assistance in 2017, you may now be eligible to qualify for subsidies in 2018.

The following chart shows the maximum income limits for receiving subsidies for 2018 health insurance plans, as compared to the limits for 2016 subsidies:

2018 Health Insurance Subsidy Income Limits