Income Limits and Cost

To qualify for the insurance coverage through the Health Insurance Marketplaces, income will be based on a percentage of the Federal Poverty Limit (FPL) Guidelines. This will also control the maximum amount of net health insurance premiums individual will pay through the Marketplace.

Income Limits Based On Federal Poverty Limit (FPL) Guidelines
Household Size	100% of FPL	133% of FPL	150% of FPL	200% of FPL	250% of FPL	300% of FPL	350% of FPL	400% of FPL
1	11,490	15,282	17,235	22,980	28,725	34,470	40,215	45,960
2	15,510	20,628	23,265	31,020	38,775	46,530	54,285	62,040
3	19,530	25,975	29,295	39,060	48,825	58,590	68,355	78,120
4	23,550	31,322	35,325	47,100	58,875	70,650	82,425	94,200
5	27,570	36,668	41,355	55,140	68,925	82,710	96,495	110,280
6	31,590	42,015	47,385	63,180	78,975	94,770	110,565	126,360
7	35,610	47,361	53,415	71,220	89,025	106,830	124,635	142,440
8	39,630	52,708	59,445	79,260	99,075	118,890	138,705	158,520

Cost
By definition an insurance plan premium that exceeds 9.5% of a person’s income (after the Premium Tax Credit) does not meet the law’s requirement to be affordable.

Maximum Net Premium Contribution As Percentage of Income
Household Income Level (% Above Federal Poverty Level)	Maximum Net Premium Contribution As A Percentage of Income After Premium Tax Credit
Less than 133%	2%
At Least 133% But Less Than 150%	3.0% to 4.0%
At Least 150% But Less Than 200%	4.0 % to 6.3%
At Least 200% But Less Than 250%	6.3% to 8.05%
At Least 250% But Less Than 300%	8.05% to 9.5%
At Least 300% But Less Than 400%	9.50%