Enrollment for Affordable Café Act plans begins today and ends January 15, 2022 in states like Florida that participate on healthcare.gov. Individuals and families must enroll by December 15 to have coverage start January 1. Those who enroll between December 16 and January 15 will have February 1 erollment dates.
Individuals and families making between 100% and 400% of the Federal Poverty Level in states like Florida that did not expand Medicare will be eligible for tax subsidies that reduce their premiums in accordance with their family size, earnings, smoking status, and residence zip code.
Those making under 138% of the Federal Poverty Level in states that expanded Medicaid will not be eligible for tax subsidies, but, instead, will be eligible for Medicaid.
Those making between 100% or 138% of the Federal Poverty Level (depending on whether they live in a non-Medicaid expansion state or a Medicaid expansion state) and 250% of the Federal Poverty Level will be eligible for cost sharing reduction (CSR) plans in addition to tax subsidies. CSR’s are available only on silver level plans. There are three levels of CSR’s: up to 150% of FPL; between 150 and 200% of FPL; and between 200 and 250% of FPL. A cost sharing reduction plan reduces deductibles, copays, maximum out- of- pocket costs, and other items of a silver plan. Those earning up to 150% receive the highest reduction; those between 150 and 200% receive the next higher reduction, and those between 200 and 250% of FPL receive the lowest reduction. If an individual earning less than 250% of the FPL elects not to enroll in a silver level plan, s/he will still be eligible for a tax subsidy based on his or her income.
Those making above 400% of the Federal Poverty Level will be eligible for tax subsidies if their income (modified adjusted gross income) is less than 8.5% of the cost of the second lowest priced silver level plan in their geographical area.
The following table will be utilized for calculating subsidies for 2022 plans for those making up to 400% of the FPL. Note that this table applies only to the 48 contiguous states. The tables used in Alaska and Hawaii are higher.
HEALTH
DENTAL
MEDICARE
DISABILITY
LIFE
