1. Income Level:

Your household income must be between 100% and 150% of the Federal Poverty Level (FPL). In 2024, for a single person, this equates to approximately $14,580 - $21,870, and for a family of four, it ranges from $30,000 - $45,000. In states with Medicaid expansion, incomes below 138% FPL may qualify for Medicaid instead.

2. Filing Status:

You must file your taxes as Single, Head of Household, or Married Filing Jointly. If married but filing separately, you are generally not eligible unless you meet specific exceptions (such as spousal abuse or abandonment).

3. No Access to Affordable Employer Insurance:

You cannot have access to an employer-sponsored plan that meets ACA affordability standards (costing less than 9.12% of household income for self-only coverage).

4. Legal Residency:

You must be a U.S. citizen or have eligible immigration status and cannot be incarcerated.

5. Enrollment through the Marketplace:

The tax credit is only available if you enroll in a health plan through the ACA Marketplace.

6. Not Eligible for Other Coverage:

You cannot be eligible for Medicare, Medicaid, CHIP, TRICARE, or other public health insurance programs.

Yes, you can switch plans during the Open Enrollment Period or if you experience a qualifying life event, like moving or losing other health insurance.

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