What are ACA levels?

Asked by: Augustus Hermiston DVM  |  Last update: October 18, 2025
Score: 4.7/5 (60 votes)

Levels of plans in the Health Insurance Marketplace ®: Bronze, Silver, Gold, and Platinum. Categories (sometimes called “metal levels”) are based on how you and your insurance plan split costs. Categories have nothing to do with quality of care.

What are the four tiers of ACA?

Marketplace plans are put into 4 categories (or "metal levels"): Bronze, Silver, Gold, and Platinum. Catastrophic plans are a 5th category available to people under 30 and some people with limited incomes. The categories have nothing to do with the quality of care you get in a plan.

What does ACA status mean?

This status determines whether an employee is eligible for benefits coverage and should be offered coverage.

What are the ACA subsidy levels?

The discount can be applied to four levels of coverage: Bronze, Silver, Gold and Platinum. Subsidies can't be used for the cheapest options: Catastrophic plans, Medicaid, the Children's Health Insurance Program (CHIP) or coverage offered by your employer.

What does ACA stand for?

Affordable Care Act (ACA) The comprehensive health care reform law was enacted in March 2010. The law has 3 primary goals: Make affordable health insurance available to more people.

ACA Explained: Levels, Exams, and Timing Demystified

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What are the levels in ACA?

ACA is a great option if you're looking to become a chartered accountant and work in accountancy and finance. It opens a wealth of opportunities, as you can specialise in specific areas or sectors, or work broadly across multiple industries. It consists of three levels: Certificate, Professional, and Advanced.

What does ACA mean in mental health?

Under the Affordable Care Act

Your mental health is just as important as your physical health. That's why federal law, under the Affordable Care Act (ACA), says that mental and behavioral health services are essential health benefits that must be covered.

Who is eligible for the ACA?

To be eligible to enroll in health coverage through the Marketplace, you must: Live in the United States (U.S). Be a U.S. citizen or national, or be lawfully present non-citizen in the U.S. Learn about eligible immigration statuses. Not be incarcerated.

How can I avoid paying back my premium tax credit?

Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.

What is the ACA 3 month rule?

The ACA employer mandate rules permit a “limited non-assessment period” as a sort of grace period before which employers will be penalized for failure to offer coverage to a new hire. For new full-time hires, the duration of this period is relatively short (the first three full calendar months of employment).

Is ACA based on income?

Under the Affordable Care Act, eligibility for income-based Medicaid and subsidized health insurance through the Marketplaces is calculated using a household's Modified Adjusted Gross Income (MAGI).

What is the difference between ACA and Obamacare?

“Obamacare” and the “Affordable Care Act” are the SAME thing. A recent article in the New York Times reported survey results showing that one-third of the people surveyed did not know that “Obamacare” and the “Affordable Care Act” refer to the same law.

What happens if I underestimate my income for Obamacare in 2024?

For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.

How much is Obamacare a month for a single person?

Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.

Is it better to have a high or low deductible for health insurance?

A lower deductible plan is a great choice if you have unique medical concerns or chronic conditions that need frequent treatment. While this plan has a higher monthly premium, if you go to the doctor often or you're at risk of a possible medical emergency, you have a more affordable deductible.

Is $40,000 a year considered poverty?

According to the U.S. Census, the median salary was $80,610 in 2023. What's more, in 2024, a $40,000 salary would be below the United States Census Bureau's poverty threshold for families of up to six people.

What is the poorest state in the United States in 2024?

Mississippi

With a poverty rate of approximately 19.5% as of 2020. In 2024 it has the highest poverty rate with 18.8%. According to the U.S. Census Bureau, it faces significant economic challenges.

What is the 9.5% rule for ACA?

The federal poverty line safe harbor generally treats coverage as affordable for a month if the employee required contribution for the month does not exceed 9.5 percent, adjusted annually, of the federal poverty line for a single individual for the applicable calendar year, divided by 12.

How do I calculate ACA affordability?

Take the employee's lowest hourly rate for the month and multiply the number by 130, the minimum total of hours a worker must provide to be classified as a full-time employee under the ACA. Take the product of that calculation and multiply it by 9.02% for 2025.

What is the 50/30 rule in the Affordable Care Act?

The Affordable Care Act's “shared responsibility” provisions (also referred to as the "employer mandate" or "play or pay") generally require that “applicable large employers” or ALEs (those with 50 or more full-time employees working at least 30 hours per week or their equivalents when adding together part-time hours) ...

How do you know if you have ACA?

If you receive automatic financial help to pay for your coverage, you probably have an Obamacare plan. The ACA lets plan members apply for two types of assistance: premium tax credits and cost-sharing reductions. A premium tax credit, also known as a subsidy, lowers the amount you pay each month for your plan.

Who is the largest payer of mental health care in the US?

Medicaid is the single largest payer for behavioral health services, including mental health and substance use services.

How does ACA work?

The ACA requires that employers cover their workers and it provides tax credits to certain small businesses that cover specified costs of health insurance for their employees. It created state- or multistate-based insurance exchanges to help individuals and small businesses purchase insurance.