Calculating Premium Assistance Subsidy Eligibility For The Covered California Advance Premium Tax Credit

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Do I Qualify To Have Premium Assistance Subsidy Eligibility?

(Use this chart as an estimate, but eligibility varies by age, income and region)

                        CoveredCA-ComparisonChart  Download a Paper Application                            

Number of people

in household

2013 annual family income

levels to qualify*

1

$45,960 or below

2

$62,040 or below

3

$78,120 or below

4

$94,200 or below

5

$110,280 or below

6

$126,360 or below

7

$142,440 or below

8

$158,520 or below

* 2013 modified adjusted gross income levels are the latest available; assistance will be based on estimated 2014 modified adjusted gross income. Chart estimates of premium assistance subsidies are courtesy of Kaiser Permanente.  *Contact a local Certified Insurance Agent to learn about additional eligibility requirements, click here or download a Download a Paper Application.

 

 

26 Year Old Rate Premium Assistance Subsidy Example

(Premium Assistance Subsidy is provided in the form of a

Covered California Advance Premium Tax Credit)

CoveredCA-ComparisonChart

Kaiser Permanente

Low Cost Plan

(Monthly Premium Includes Subsidy)

2013 Annual Family Income

Qualification*

$323/mo.

$34,000

$167/mo.

$32,000

$143/mo.

$30,000

$119/mo.

$28,000

$93/mo.

$26,000

$66/mo.

$24,000

$38/mo.

$22,000

$9/ mo.

$20,000

(Assumes the Covered California Kaiser Bronze Plan, enrolling a single 1 person household, living in San Jose, California (Santa Clara County), eff. 1/1/14.  For additional articles about Kaiser Permanente and the Affordable Care Act, Click Here.) 

*Contact a local Certified Insurance Agent and to learn about additional eligibility requirements or Download a Paper Application.

                                                                  CoveredCA-ComparisonChart

 

 

 

55 Year Old Rate Premium Assistance Subsidy Example

(Premium Assistance Subsidy is provided in the form of a

Covered California Advance Premium Tax Credit)

CoveredCA-ComparisonChart

HealthNet PPO*

Silver Plan

 (Includes Subsidy)

2013 Annual Family Income

Qualification**

$156/mo.

$20,000

$179/mo.

$22,000

$215/mo.

$25,000

$280/mo.

$30,000

$348/mo.

$35,000

$387/mo.

$40,000

$427/mo.

$45,000

$670/ mo.

$50,000

(Assumes the Covered California HealthNet PPO Silver Plan, enrolling a single 1 person household, living in San Jose, California (Santa Clara County), eff. 1/1/14)

*The HealthNet PPO has the broadest provider network in selected regions.

**Contact a local Certified Insurance Agent and to learn about additional eligibility requirements or Download a Paper Application

CoveredCA-ComparisonChart

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