Obamacare subsidy and your qualifications

Are you one of the 10.4 million Americans missing in the Obamacare subsidy program? The Caesar Health Report says that 60% of government subsidy applicants do not receive these subsidies. why? They just didn't register for insurance on the health insurance exchange.

Most people think that the Affordable Care Act is designed to help the poor. In fact, more than half (56%) of the subsidies will flow to middle-income families. For example, this is a family of four with annual income between $47,100 and $94,200. They are caught in a trap where they earn too much for Medicaid, but not enough to pay for a private medical plan. According to American families, they are usually hard-working parents working on food service workers, administrative staff, and health assistants who do not provide health insurance.

Obamacare will pay $1039 trillion in subsidies to these middle-class families between 2015 and 2024. This exceeds the $792 billion it will spend on expanding Medicaid and chips for the poor.

Make sure you get the subsidy you deserve

The easiest way is to go to healthcare.gov to see if you will get a subsidy, you will enter your expected adjusted total income, it will tell you how much discount you will get. You can sign up for Obamacare in four simple steps. If your income is as high as 225% of the poverty level, you can even save more cash than most people. Any insurance company that sells on an exchange must reduce these costs to an affordable level.

How to calculate household income

You need to estimate the family income for a year. To do this, your family is anyone who needs insurance, and the income is anyone included in your tax return. The IRS calculates your family as: 


  • You and your spouse. Even if you only want to buy insurance for yourself, you must jointly declare for the year you want to subsidize and include their income.
  • Your child lives with you even if they file their own taxes.
  • Any family members listed on the tax return, even if they do not live with you.
  • People under the age of 21, you take care of and live together.
  • Your unmarried partner is only if he/she is your tax dependent, or your child's parents.


An easy way to estimate income begins with the adjusted total income from last year's tax return. This is line 37 of the 1040 form, line 4 of the 1040 EZ form, line 21 of the 1040 A form. If you have foreign income, non-taxed social security benefits and tax-free interest (most people do not). Does not include supplementary guarantee income.

If you think you will get a raise next year, change jobs, or increase/decrease any family in your family, it is estimated how this will change your income. Healthcare.gov guides you on how to estimate your income.

How to get subsidies

This subsidy has been added to your income tax refund. Fortunately, subsidies are automatically used to lower your monthly premiums. If you don't file tax returns, you won't get a subsidy. There are nine exemptions for Obamacare.

If your income increases within a year, your subsidies will decrease. Therefore, your tax bill will be bigger. To avoid this, please update your account on healthcare.gov with any significant income or family changes.

How much subsidy will you get?

The subsidy is based on the cost of the silver insurance plan. This is one of the four insurance levels of the exchange. Bronze plans to pay you 60% of your medical expenses, and you pay 40% of the total cost. Their premiums are lower. The gold plan pays 80% while you pay 20%. Most gold schemes have higher premiums than bronze schemes, but the deductible is lower. Silver plans to pay 70% while you pay 30%. The deductible for singles is generally $2,000, and the family-wide deductible is typically $4,000. Platinum plans account for 90% of healthcare costs, and most do not have deductibles.

They all offer the same 10 basic health benefits, provide free preventive care, and comply with other ACA regulations. The difference in the amount of the insurance will be shown in the premium, deductible and co-payment.

This subsidy is based on the guarantee that you pay no more than 9.5% of your income for the second minimum silver plan. It is calculated by subtracting the cost from your income by 9.5%. You can then apply this amount to the plan of your choice.