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The Affordable Care Act (ACA) [1] is divided into 10 titles [2] and contains provisions that became effective immediately, 90 days after enactment, and six months after enactment, as well as provisions phased in through to 2020. [3] [4] Below are some of the key provisions of the ACA.
Households with (Modified Adjusted Gross) income of 100-250% of the Federal poverty level (FPL) may also receive cost-sharing subsidies if they are enrolled in a silver plan through a healthcare exchange. The subsidy reduces the amount a household must pay out-of-pocket. [3]
Under the ACA, only those households earning between 100% and 400% of the federal poverty level (FPL) are eligible to receive the PTC; however, the American Rescue Plan Act of 2021 temporarily extended PTC eligibility to anyone making more than 100% of the FPL, and the Inflation Reduction Act extended that eligibility expansion through 2025. In ...
Americans with incomes over 400% of poverty — those who make just above four times the poverty level, or $103,280 for a family of four — are eligible for the enhanced ACA insurance subsidies.
2.6 million were in the "coverage gap" due to the 19 states that chose not to expand the Medicaid program under the ACA/Obamacare, meaning their income was above the Medicaid eligibility limit but below the threshold for subsidies on the ACA exchanges (~44% to 100% of the federal poverty level or FPL); 5.4 million were undocumented immigrants;
Medicaid and CHIP are for low-income adults and children. The Health Insurance Marketplace of the Affordable Care Act (ACA) provides access to health insurance, and in some cases, subsidizes the ...
But there’s at least one key reason to think that this time will turn out differently: A major expansion of the Affordable Care Act’s insurance subsidies passed by the Biden administration is ...
Income % of federal poverty level Premium cap as a share of income Income a Maximum b annual net premium after subsidy (second-lowest-cost silver plan) Maximum out-of-pocket 133% 3.11% of income $33,383 $1,038 $5,200 150% 4.15% of income $37,650 $1,562 $5,200 200% 6.54% of income $50,200 $3,283 $5,200 250% 8.36% of income $62,750 $5,246 $12,600 ...