What is the minimum income for HealthCare.gov 2025?

Asked by: Dillan Gislason  |  Last update: October 25, 2025
Score: 4.8/5 (62 votes)

For an individual, that means an income of at least $15,060 in 2025. For a family of four, that means an income of at least $31,200 in 2025. This Marketplace subsidy calculator can show you your eligibility for different income amounts and family sizes.

Are HealthCare.gov plans based on income?

based on estimated household income. Find out if you may qualify. Use our income calculator to make your best estimate. Learn more about estimating income, and see what to include.

What is the affordability threshold for 2025?

IRS Increases Safe Harbor Affordability Threshold for 2025 Tax Year. The Internal Revenue Service (IRS) is increasing the safe harbor affordability threshold to 9.02% for the 2025 tax year.

Will Obamacare be available in 2025?

Marketplace Open Enrollment on HealthCare.gov ran through January 15. Consumers who enrolled by midnight local time on January 15 got coverage that will start February 1, 2025.

What is the income limit for marketplace insurance 2025?

Premium tax credits are available to people who buy Marketplace coverage and whose income is at least as high as the federal poverty level. For an individual, that means an income of at least $15,060 in 2025. For a family of four, that means an income of at least $31,200 in 2025.

How to Pick the BEST Marketplace Plan 2025

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What is the affordability test for 2025?

The IRS adjusts the affordability percentage each year and for 2025 the cost of single coverage must be less than 9.02% of an employee's household income in order to be affordable.

What is the 28% affordability rule?

The rule says you should spend no more than 28% of your gross monthly income on housing (your monthly mortgage payment) and a maximum of 36% on all your debts. This would include your mortgage payment, student loan payment, car payment, credit card minimums, and any other debt you pay off monthly.

How does HealthCare.gov verify income?

If you don't expect your income to change for the year you're seeking coverage: You can provide your most recent tax return or W-2s. If you have a different job than you had last year but expect the same income, don't send documents that show income from your old job. Send recent pay stubs from the new job instead.

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.

Can you use HealthCare gov if you make too much money?

If you don't qualify for the premium tax credit on a Marketplace plan because your income is too high, you can still apply for health coverage through the Marketplace.

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.

Does social security count as income for marketplace insurance?

Include both taxable and non-taxable Social Security income. Enter the full amount before any deductions. Include all unemployment compensation that you get from your state.

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 income puts you at the poverty line?

According to the most recent report issued in January 2023, the poverty threshold for a family of four is $29,960. For an individual, the poverty threshold is $14,891. The US Department of Health and Human Services (HHS) issues its poverty guidelines based on the Census Bureau's poverty thresholds.

What is the highest income to qualify for Medicaid 2024?

Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.

How to calculate affordability for ACA 2025?

Calculating Affordability Using the FPL Safe Harbor

For most employers, the FPL safe harbor is the easiest to calculate. For 2025 calendar year plans, the FPL safe harbor is satisfied if an employee's required monthly contribution for self-only coverage doesn't exceed 9.02% of the federal poverty line divided by 12.

What is the IRS affordability threshold for 2025?

To meet the affordability requirement, the employee contribution for the lowest cost health benefit option offered by the employer must be no greater than 9.02% (for plan years beginning in 2025) of the full-time employee's household income.

What is the safe harbor threshold for 2024?

For 2024 calendar year plans, the FPL Safe Harbor is satisfied, if the required monthly employee contribution for self-only coverage does not exceed 8.39% of the federal poverty line divided by 12.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.

Does healthcare.gov use gross or net income?

To report expected income on your Marketplace health insurance application, start with your most recent year's adjusted gross income and update it based on income and household changes you expect for the coverage year.