Medi-Cal vs Covered CA subsidies

Advance Payments of the Premium Tax Credit APTC
ARPA American Rescue Plan Act

 How to get & qualify for Subsidies

 

Introduction to Subsidies – Premium Tax Credit

 

To make this all “simple” just use our quote engine and/or watch our video on using the quote engine.

what is MAGI Income or does this or that count as income.

How do you get the premium tax credit?

Check out our quote engine, to get a preliminary indication of the amount of subsidies you’ll qualify for.  There is no extra charge for our services,

In a lot of ways subsidies are hocus pocus smoke & mirrors as you have to file Form 8962, Premium Tax Credit, with your tax return at the end of the year.  So, at the end of the year if you make too much $$$ you might have to give it back.  If you make less, you get money back on your taxes.

Failing to file your tax return will prevent you from receiving advance credit payments in future years and can cause MAJOR PROBLEMS and coverage CANCELLATION!

The premium tax credit is refundable so taxpayers who have little or no income tax liability can still benefit. The credit also can be paid in advance to a taxpayer’s insurance company to help cover the cost of premiums. IRS Website on “The Basics

Links & Resources 

Calculate your  Covered CA MAGI Income

take #Line8b 11 Adjusted Gross income then add line 2a, 6a &   8 (Foreign Income)

 

MAGI Income from 1040

All our plans are Guaranteed Issue with No Pre X Clause
Quote & Subsidy Calculation
There is No charge for our complementary services

Guaranteed Issue - No Pre X Clause - Quote & Subsidy Calculation - No charge for our complementary services - If not in CA click here for Nationwide Quotes

Watch our 10 minute VIDEO
that explains everything about getting a quote

Full detailed explanation of how to use our quote engine video

Federal Poverty Level &
Program Chart

Medi-Cal?  Covered CA Subsidies?  Enhanced Silver?
MAGI Income Chart

Steve Shorr VIDEO on subsidies
Health Care Reform

Steve Still Video's

CMS VIDEO explains the advance premium tax credit and the different ways in which you can apply it to lower the cost of insurance for you and your family. 

 

 

#COVID19 Bill

The American Rescue Plan Act  ARPA

2021 Federal Stimulus Package
March 2021

VIDEO Introduction to ARPA  by Steve 

ARPA Provides:

  • Those enrolled in  Covered California health plans will not have to pay more than 8.5% of their household income for the second lowest cost silver plan – Get Quotes
  • If you are not in Covered CA, there is a special enrollment period to apply.  If you stay with the same insurance company, your deductibles & co pays will transfer over!
  • Any person in 2021 who received unemployment insurance for one week or more, and their total income qualifies for coverage through Covered California, will receive federal premium tax credit available for 138% of FPL  Silver 94? for the duration of the Public Health Emergency in 2021.
  •  In California, individuals making between 138 percent and 150 percent of the federal poverty level — between $17,776 and $19,140 per year — will see their already-low premiums eliminated. San Diego Union *  Covered CA FAQ for Brokers *
  • 100% federal premium subsidy for COBRA coverage Blue Shield *
  • Despite What the White House Says, Obamacare Is Deeply Troubled PRI Center for Economics & Innovation
  • Get quotes to see how ARPA would work for you.
  • ARPA is funded to the tune of $34 Billion for only two years and would change the formulas for health insurance tax credits to make them more generous for most people, and also allow a wider number of individuals to qualify.
  • ARPA follows President Biden’s strategy of getting all Americans covered.  Modern Health Care 3.8.2021 * NPR *
  • Covered CA will automatically check if clients get more subsidies.  BUT! your consent to allow Covered CA to check your finances in the Federal Hub, etc.  must be up to date.  Here’s their quick guide on how to do that.
  • ARPA is comprehensive and there are several provisions that we are watching closely that would affect how people pay for their health insurance coverage:
  • Removing the cap on subsidies for people earning more than 400% [600% in CA] of the Federal Poverty Level (FPL) –Currently those with a Modified Adjusted Gross Income (MAGI) of more than 400% of the FPL are not generally eligible for Advance Premium Tax Credits (APTC).  Additionally, there is legislation that would make the removal of the 400% cap permanent.²
  • Lower the maximum a person has to pay for the Benchmark Plan from 9.83% of MAGI to 8.5% of MAGI – This provision would drop the amount the insured person has to pay for insurance from 9.83% of his MAGI to 8.5%.
  • Provide no-cost Silver Plans for people receiving unemployment insurance – Americans on unemployment insurance during 2021 would receive the Benchmark Silver Plan in their market for a $0 premium contribution while they are receiving unemployment insurance.⁴
  • APRA COVID Stimulus bill will also pay your COBRA and  Cal COBRA  premium.
  • All ages will be affected, but this bill will have the greatest impact on near-seniors, or those aged 55-64 because of the cost of their ACA coverage. Stephens Mathews Email 3.11.2021 *

Resources & Links

Premium Problems if ARPA isn’t renewed

July 12, 2022 VIDEO will ARPA be renewed for January 2022?

Covered CA Certified Agent

#Covered CA Certified Agent  

No extra charge for complementary assistance 

I'm in Sonia

 

Technical Links for

Premium Tax #Credits §136 B

CFR 136 B 3 – How is Tax Credit #Calculated 
cfr 136 b subsidies

Kaiser Foundation Subsidy Explanation

kaiser.foundation.subsidy.explanation

#Native Americans Heath Insurance subsidies, etc

 

No Health Care Expenses, Depending on Income

Federally recognized American Indians and Alaska Natives who earn less than 300 percent of the federal poverty level (see chart) will not have to pay certain out-of-pocket medical costs, such as copays and deductibles, if they purchase health insurance coverage through Covered California, no extra charge for use to help you.  Get Quote

No Cost-Sharing for Covered Services Provided by an American Indian Health Provider or Clinic, Regardless of Income

There are no copays or deductibles for any covered services received directly through the federal Indian Health Service, tribes, tribal organizations or urban American Indian organizations.

Ability to Buy Insurance Anytime

American Indians and Alaska Natives can buy or change health insurance plans once a month through Covered California and are not subject to open-enrollment periods.   Our webpage on special enrollment

Exemption from the Shared Responsibility Payment

All members of federally recognized tribes and all American Indians and Alaska Natives who are eligible for services through an Indian Health Service provider are eligible from an exemption from the shared responsibility payment (the tax penalty consumers pay if they do not have minimum essential health coverage).

 more exemption information

Our webpage on CA Penalty  * 

Exemptions from CA Mandate Penalty

covered ca.com/documents-to-confirm-eligibility/american-indian-or-alaskan-native  

Additional information that may be of interest to American Indians and Alaska Natives is available below:

More Links

Southern CA

Tongva Territory

 

One comment on “APTC Advance Premium Tax Credit – Subsidies ARPA

  1. https://www.whitehouse.gov/briefing-room/statements-releases/2022/08/15/by-the-numbers-the-inflation-reduction-act/

    https://www.reuters.com/world/us/pelosi-says-us-house-will-pass-inflation-reduction-act-friday-2022-08-10/

    In a 51-50 vote with Vice President Kamala Harris as the tie-breaker, the Senate on Saturday passed the Inflation Reduction Act that includes much of the sought-after Democratic priorities on drug negotiations and continued Affordable Care Act subsidies.

    The bill now heads to the House, where it is expected to pass and then move on to President Joe Biden’s desk for his signature.
    https://www.healthcarefinancenews.com/news/what-inflation-reduction-act-means-healthcare

    https://www.nytimes.com/2022/08/07/us/politics/climate-tax-health-care-bill.html

    https://khn.org/morning-breakout/house-next-to-take-up-senate-passed-health-climate-and-tax-bill/

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