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Health Reform Subsidy Calculator

Premium Assistance for Coverage in Exchanges

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This tool illustrates premiums and government assistance under the health reform law signed by the President. Beginning in 2014, tax credits will be available for people under age 65 who purchase coverage on their own in a health insurance Exchange and are not covered through their employer, Medicare or Medicaid. The tool allows the user to examine the impact at different income levels, ages, family sizes, and regional costs.

Premium calculations are consistent with estimates of premiums under reform prepared by the Congressional Budget Office. CBO projects that average premiums under reform for the same level of coverage for a given group of enrollees would be 7-10% lower than under the status quo. However, in many cases coverage will be more comprehensive and accessible than what is typically available today in the non-group market. As a result, 2014 premiums in the calculator cannot necessarily be compared to what people buying insurance on their own are paying in 2010.

The calculator does not apply to people with coverage available through an employer, where the firm is generally paying for a substantial portion of the insurance premium.

Enter Information About Individual Circumstances

  1. 1. Enter income as
  2. 2. Enter annual income (Dollars)
  3. 3. Enter age of policyholder (19-64)
  4. 4. Enter family type
  5. 5. Is employer coverage available?
  6. 6. Enter regional cost factor
    The premium can be adjusted up or down by 20% to provide a sense of how premiums might differ across areas with higher and lower costs.

You can enter expected income in 2014 dollars or as a percentage of the federal poverty level. The calculator can also calculate current income in 2010 as a percentage of the poverty level.

Source: Kaiser Family Foundation calculations.

Updated: 6/22/2010