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2024 ACA Income Limits for Tax Credit Subsidies

2024 ACA Income Limits for Tax Credit Subsidies

wdt_ID Family Size < 138% FPL: NC Medicaid 150% FPL 200% FPL 400% FPL
1 1 $20,120 $21,870 $29,160 $58,320
2 2 $27,214 $29,580 $39,440 $78,880
3 3 $34,307 $37,290 $49,720 $99,440
4 4 $41,400 $45,000 $60,000 $120,000
5 5 $48,493 $52,710 $70,280 $140,560
6 Each add’l: +$7,093 +$7,710 +$10,280 $20,560

2024 ACA Marketplace Income Limits for Tax Credit Subsidies on to lower health insurance premiums

Based on eligibility and your family size and Modified Adjusted Gross Income (“MAGI”) on your [future] 2024 Personal Tax Returns, you may qualify for subsidies to lower your net premiums on the ACA Health Insurance Marketplace. Schedule a free consultation with one of our professional agents today to review your eligibility and options, or get a quote and/or enroll here with our easy software, other than that clunky!

The Affordable Care Act (ACA) for 2024 offers various forms of financial assistance to make health insurance more affordable for individuals and families. Here’s an explanation of the 2024 ACA Income Limits Chart for Advanced Premium Tax Credit (APTC)-subsidized Marketplace insurance coverage, how reconciliation works with IRS Form 1095-A, and a description of CSR-Level Silver options in the ACA Marketplace, including updates due to North Carolina’s Medicaid expansion.

### 2024 ACA Income Limits for APTC Subsidies
For 2024, to qualify for assistance under the ACA, you generally need to earn between 100% and 400% of the federal poverty level (FPL). However, the 400% FPL subsidy cliff has been temporarily removed, allowing individuals who make over 400% FPL to receive tax credits that gradually decrease as their income rises, without a sharp cutoff. For an individual, this ranges from $14,580 to $58,320, and for a family of four, from $30,000 to $120,000【8†source】【10†source】.

Types of assistance offered include Premium Tax Credits, Cost-Sharing Reduction Subsidies (for Silver Plans only), and Medicaid Expansion and CHIP【9†source】.

### Reconciliation with IRS Form 1095-A
Taxpayers receiving advance payments of the premium tax credit must reconcile these payments with the actual premium tax credit they are eligible for, based on their actual household income and family size. This is done using Form 8962, with information from Form 1095-A provided by the Health Insurance Marketplace. If the advance payments are more than the actual credit, the excess must be repaid, subject to limitations based on household income. Conversely, if the payments are less, the taxpayer benefits from the increased tax credit【18†source】【19†source】.

### CSR-Level Silver Options
CSR subsidies reduce out-of-pocket costs (like deductibles, copays, and coinsurance) for Silver plans purchased on the Health Insurance Marketplace, based on income. They apply to those making between 100% and 250% of the FPL. These subsidies lower the out-of-pocket costs by raising the actuarial value of the health plan but don’t reduce premiums. CSR subsidies only apply to covered benefits within the plan’s network and generally include ten categories of essential health benefits【25†source】【26†source】【27†source】.

To qualify for CSR subsidies, you must shop on the Health Insurance Marketplace, make between 100% and 250% FPL, and obtain a Silver plan【28†source】. The out-of-pocket assistance level varies based on income, offering different actuarial values: 94% for 100-150% FPL, 87% for 150-200% FPL, and 73% for 200-250% FPL【31†source】.

Unlike premium tax credits, you won’t owe back any cost assistance received via CSR subsidies. In some cases, you may even get a refund for cost-sharing charges already paid if your income ends up being lower than projected and you adjust your Marketplace account accordingly【32†source】.

### Medicaid Expansion in North Carolina
As of December 1, 2023, North Carolina expanded Medicaid. This means that all income estimates at or under 138% FPL are now eligible for NC Medicaid. Those with income estimates over 138% FPL can seek tax credit subsidies in the ACA Marketplace, including on Silver CSR-Level plan options【10†source】.

### Conclusion
The ACA provides various financial aids to make health insurance more accessible and affordable. Understanding these options, particularly in light of recent changes like the removal of the subsidy cliff and Medicaid expansion, is crucial for making informed decisions about health insurance coverage.

**Understanding the 2024 ACA Income Limits Chart for APTC-subsidized Marketplace Insurance**

The Affordable Care Act (ACA) introduced the opportunity for eligible individuals to receive subsidies to help make health insurance more affordable. These subsidies are based on income and are referred to as Advanced Premium Tax Credits (APTCs). Understanding the income limits associated with these subsidies can help you determine if you qualify and for how much. Let’s break down the 2024 ACA Income Limits Chart for APTC-subsidized Marketplace insurance coverage.

**2024 ACA Income Limits for APTC:**
To qualify for the APTC, your household income must fall between 100% and 400% of the Federal Poverty Level (FPL). This range varies based on the size of your household. For instance, for a household of one, the income range could be between $X and $Y (as determined by the 2024 FPL numbers). As your household size increases, the income range for eligibility also increases.

Please refer to the official 2024 ACA Income Limits Chart for detailed information on income thresholds based on household size.

**Reconciliation with IRS Form 1095A:**
Once you’re enrolled in a Marketplace plan and are receiving APTC subsidies, it’s crucial to report these on your tax return. The IRS Form 1095A acts as a statement detailing the health coverage you’ve received through the Marketplace.

Each year, you’ll receive this form from the Marketplace. It will specify the months you were covered, the total premium for your plan, and the monthly subsidy amounts you received.

When you file your taxes, you need to reconcile the APTC you received with the amount you’re actually eligible for based on your final income for the year. This process ensures that you received the correct amount of subsidy.

1. **If your actual income is lower than estimated:** You might be eligible for a larger tax credit than you received, resulting in a tax refund.
2. **If your actual income is higher than estimated:** You may have to pay back some or all of the excess subsidy you received. This amount will be factored into your tax liability.

To reconcile, use IRS Form 8962 with the information from Form 1095A. Always update the Marketplace with changes in your income or household size throughout the year to minimize large discrepancies during tax time.

**CSR-Level Silver Plans in the ACA Marketplace:**
In addition to the APTC, there’s another form of financial assistance available in the Marketplace: the Cost-Sharing Reduction (CSR). CSRs are available to those with incomes between 100% and 250% of the FPL, and they can significantly reduce out-of-pocket costs like deductibles, copayments, and coinsurance.

However, there’s a catch – CSRs are only available with Silver-level plans in the Marketplace. These plans are termed “CSR-Level Silver” plans. Even though you might find Bronze or Gold plans with lower premiums, the Silver plans with CSRs can provide more value due to the reduced out-of-pocket costs, especially if you expect to use medical services frequently.

In summary, the Silver plans with CSR benefits can be a fantastic choice for those eligible, making healthcare more affordable not just in monthly premiums, but in actual care costs as well.

Navigating the ACA and its myriad of options can be challenging, but understanding key components, like the 2024 ACA Income Limits and the importance of reconciliation with IRS Form 1095A, can make the process smoother. Additionally, exploring CSR-Level Silver plans might save you money if you qualify. Always consult with a tax or insurance professional to ensure you’re making the best choices for your specific situation.

*Note: This explanation is a broad overview for educational purposes. Actual dollar amounts for FPL, specific guidance, and nuances can be found on the referenced websites and official ACA documentation.*