How can I Qualify for Premium Tax Credits?

A person can qualify for PTC if:

• They have a household income within 100%-400% of the FPL (Federal Poverty Line)

• Do not file a “Married Filing Separately” tax return. (There are exceptions for victims of domestic violence or spousal abandonment)

• In the same month you or a family member:

  • ​Do not qualify for coverage through a government program (Medicare, Medicaid, TRICARE, CHIP, etc)

  • Enrolled in coverage under a plan (excluding “catastrophic” plans from the Marketplace

  • Am unable to get or qualify for an employer-sponsored plan that provides minimum value, affordable coverage.

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Some Definitions:​

• Affordable coverage is defined by: The plan does not exceed 9.5% percent of your annual household income. This percentage is adjusted slightly every year - in 2020, the cutoff was 9.78% of your household income.

• A minimum value coverage plan has 60% actuarial value. This is equivalent to a bronze metal plan on the Marketplace.