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💰 2026 Premium Tax Credit Estimator

ACA Subsidy Calculator

Find out how much you could save on health insurance. Enter your household details below to estimate your 2026 premium tax credit.

Include yourself, spouse, and tax dependents
Your total expected 2026 income before taxes (MAGI)
Age affects the benchmark Silver plan cost
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Understanding ACA Subsidies in 2026

The premium tax credit helps make health insurance affordable. Here's what you need to know.

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Income-Based Savings

Your subsidy is calculated based on your household income compared to the Federal Poverty Level (FPL). Lower income means a larger subsidy and lower monthly premiums.

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The 2026 Subsidy Cliff

The enhanced subsidies from the American Rescue Plan expired at the end of 2025. In 2026, the 400% FPL income cap is back: earn over this amount and you receive zero subsidy.

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Benchmark Silver Plan

Your subsidy is based on the cost of the second-lowest-cost Silver plan in your area. You can apply the credit to any metal tier, but the subsidy amount stays the same.

Income Limits for 2026 Coverage

For 2026 plans, your income is compared against the 2025 FPL guidelines.

Household Size 100% FPL 150% FPL 200% FPL 250% FPL 300% FPL 400% FPL (Max)
1$15,650$23,475$31,300$39,125$46,950$62,600
2$21,150$31,725$42,300$52,875$63,450$84,600
3$26,650$39,975$53,300$66,625$79,950$106,600
4$32,150$48,225$64,300$80,375$96,450$128,600
5$37,650$56,475$75,300$94,125$112,950$150,600
6$43,150$64,725$86,300$107,875$129,450$172,600
7$48,650$72,975$97,300$121,625$145,950$194,600
8$54,150$81,225$108,300$135,375$162,450$216,600

2026 Applicable Percentage Table

This is the percentage of your income you're expected to pay toward the benchmark Silver plan. The subsidy covers the rest.

Income as % of FPL Initial % Final % What This Means
Up to 150%0.00%4.12%Lowest cost — may pay $0 or near-zero for a Silver plan
150% – 200%4.12%6.52%Significant subsidy — you pay 4-6% of income
200% – 250%6.52%8.33%Moderate subsidy — you pay 6-8% of income
250% – 300%8.33%9.83%Smaller subsidy — you pay 8-10% of income
300% – 400%9.83%9.94%Near maximum contribution — approximately 10% of income
Over 400%No subsidyFull premium with no financial assistance (the subsidy cliff)

Source: IRS Rev. Proc. 2025-25, Section 36B applicable percentage table for taxable years beginning in 2026. Percentages are indexed annually for inflation.

State-Specific Subsidy Factors

Several factors vary by state and can affect your subsidy amount and options.

✅ Medicaid Expansion States

In states that expanded Medicaid, adults with income up to 138% FPL qualify for Medicaid instead of marketplace subsidies. This means the marketplace subsidy kicks in at 139% FPL.

Expanded: AR, AZ, DE, IA, IL, IN, LA, MA, MI, MO, MT, NC, NE, OH, OK, OR

⚠️ Non-Expansion States

In states that did not expand Medicaid, there can be a "coverage gap" for adults earning below 100% FPL who don't qualify for Medicaid or marketplace subsidies.

Not Expanded: AL, FL, GA, KS, MS, SC, TN, TX

🏠 Benchmark Premiums Vary by Location

The second-lowest-cost Silver plan (benchmark) varies dramatically by state and county. For example, average Silver plan premiums in our covered states range from $390/mo (Massachusetts, Michigan) to $530/mo (Montana, Nebraska). Rural areas often have higher premiums, which means higher subsidies. Your actual subsidy depends on the benchmark premium in your specific area.

Subsidy Calculator Questions

The premium tax credit (PTC) is a federal subsidy that reduces the monthly cost of health insurance purchased through the ACA marketplace (HealthCare.gov or your state exchange). It's calculated based on your household income, family size, and the cost of the benchmark Silver plan in your area.
For 2026, you may qualify if your household income is between 100% and 400% of the Federal Poverty Level and you are not eligible for other qualifying coverage (like employer insurance or Medicare). The enhanced subsidies from the American Rescue Plan expired at the end of 2025, restoring the 400% FPL income cap.
The subsidy cliff is the hard income cutoff at 400% FPL. If your household income exceeds this threshold by even $1, you receive zero subsidy assistance. For a single person, the 2026 cliff is approximately $62,600 in annual income. For a family of four, it's approximately $128,600. This cliff was temporarily eliminated from 2021-2025 by the American Rescue Plan but has returned for 2026.
This calculator provides an estimate based on the 2026 ACA subsidy formula, 2025 Federal Poverty Level guidelines, and average benchmark Silver plan premiums for your state. Your actual subsidy may vary based on your exact ZIP code, available plans in your area, and other factors. For the most accurate number, contact a licensed advisor or use the official HealthCare.gov tool during enrollment.
Yes. While your subsidy amount is calculated based on the second-lowest-cost Silver plan, you can apply it to any metal tier: Bronze, Silver, Gold, or Platinum. Choosing a Bronze plan with a subsidy often results in very low monthly premiums, while choosing Gold or Platinum means higher premiums but lower out-of-pocket costs when you need care.
If your income changes, you should update your marketplace application. If your actual income ends up higher than estimated, you may need to repay some or all of the excess credit when you file taxes. If your income ends up lower, you may receive additional credit. It's important to report income changes promptly.

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