The crucial difference between ACA tax credits and subsidies

07/11/2013 | Kaiser Health News

People with incomes between 100% and 400% of the federal poverty level might qualify for tax credits to offset health insurance premiums, and people with incomes between 100% and 250% of the poverty level may also qualify for subsidies to offset out-of-pocket costs. Consumers can apply in advance for the tax credit based on estimated income, and the funds will be sent to the insurer, but if income was underestimated and too much was paid to the insurer, consumers may owe the difference at tax time. Cost-sharing subsidies are also paid directly to insurers, but they need not be paid back if the consumer's income rises or was underestimated.

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