Premium Tax Credit Change Estimator

Important

If someone else is able to claim you as a dependent, you are ineligible for the credit. The person claiming you may be eligible for the credit. Only use the estimator if no one else can claim you as a dependent on the federal tax return.

Please select the tax year:

Some of the figures used in determining the credit, such as the federal poverty line, are indexed to inflation. The estimator is updated annually as these figures are published. The adjustments are generally made at the end of the calendar year or beginning of the new one.

Your estimated monthly household income you submitted on your marketplace application (worksheet):
Your household income is your modified gross income plus that of every other family member for whom you claim an exemption and who is required to file a federal tax return.
- Total monthly adjusted gross income for you and your family members:
- Total tax exempt interest for you and your family members:
- Total excluded foreign income for you and your family members:
- Total nontaxable portion of Social Security benefits (and tier 1 Railroad Retirement benefits) for you and your family members:
Total:

Household income is your modified adjusted gross income plus that of every other family member for whom you claim an exemption and who is required to file a federal tax return. Modified adjusted gross income is the adjusted gross income on your return plus any foreign earned income exclusion, nontaxable Social Security benefits (including tier 1 railroad retirement benefits), and tax-exempt interest. It does not include Supplemental Security Income (SSI).
Family size:
Age of each person:
- Person 1: Eligible
  
  Check this box for each family member that is enrolled in a qualifying health plan through the Marketplace and is not eligible for other minimum essential coverage (such as coverage offered through an employer).
Your expected filing status:
Please select your state:
County where you live:
Please enter the monthly premium for the benchmark plan used to determine your advance credit payments:

The benchmark plan is the second lowest cost silver plan available in your area that covers the members of your family (you, your spouse and your dependents) who are enrolled in Marketplace coverage and not eligible for other health insurance coverage such as employer-sponsored or government-sponsored coverage.

The amount provided here is an estimate of your benchmark plan. If you received a different benchmark amount when you enrolled in coverage, use that figure instead.
Your monthly health insurance premiums (total cost before advance credit payments or other subsidies):

The total cost of the plan you choose on the Exchange before the premium tax credit is applied.
Your monthly advance payment of the premium tax credit:

The advance payments of the credit paid directly to your health insurance provider.

This tool won’t report the changes you enter here to the Insurance Marketplace where you purchased your healthcare coverage. Please be sure to report all changes directly to that Marketplace, because they can affect both your coverage and your final credit when you file your federal tax return. You may have a tax refund or balance due, even if you report all your changes.

You may be eligible for Medicaid.

See Healthcare.gov for more information

Based on the information you provided and any changes during the year, you may be eligible for a premium tax credit of:	$0
The total advance payments of the credit being paid to your insurer:	$0
premium tax credit: If you don't notify the Marketplace of life changes, this is the difference between the credit and the advance payments of the credit.
Estimated amount you need to repay: If your income is less than 400% of the federal poverty line, the amount you need to repay is limited.

Information used to estimate your credit

Total estimated annual income:	$0
Percentage of the Federal Poverty Line:	0.00%
Applicable percent: The percent of your income that you are considered to be able to afford for your and your family's health insurance.	100.00%
Total premiums for the year:	$0
Estimated annual benchmark plan premium: This is only an estimate. The Estimator determines the cost of the second lowest cost silver plan used for this estimation from the health insurance plans covering a state’s specific rating areas. However, some health insurance plans are not available for every county in a rating area. Premium costs may also be affected by other factors. Therefore, the actual premium cost of the second lowest cost silver plan may vary from the premium amount used by the Estimator. You should report changes to the Marketplace or Exchange where you enrolled in coverage. Please consult your Marketplace for the exact effect of any change in circumstance.	$5,585

If you do not notify the Marketplace of changes during the year

You will receive the correct amount of advance credit payments to match your premium tax credit.

To report a change to the Marketplace

If you enrolled in coverage through Healthcare.gov, follow these instructions to report a change.

If you enrolled in coverage through a state Marketplace, contact the state Marketplace to report the change.

Tax
Year

2021

Premium Tax Credit Change Estimator

Step 1 - Tax Year

Important

Step 2 - Your Information

You may be eligible for Medicaid.

Step 3 - Changes to Your Coverage

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

You may be eligible for Medicaid.

Your Estimated Premium Tax Credit

Information used to estimate your credit

If you do not notify the Marketplace of changes during the year

To report a change to the Marketplace

Resources

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