Simplifying Benefits
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What is included as Income

Subsidies are based on Modified Adjusted Gross Income (MAGI)

  • Earned Income

  • Pension

  • Social Security Income

  • Social Security Disability Income - but NOT Supplemental Security Income (SSI)

  • Alimony if you were divorced before January 1, 2019

  • Investment Income (not Roth IRA’s)

  • Unemployment Compensation

  • Capital Gains

  • Dividends

  • Taxable Refunds

  • Tax Exempt Interest

This is NOT a complete list of everything that counts towards income. For more information, please visit the Marketplace website.

General Information:

Important details

138% is the Medicaid cut off for adults and families. (If your state expanded Medicaid)

206% is the cut off for Medicaid for children.

There is an additional Cost Sharing Reduction Subsidy for people between 138% - 250%. The best subsidies are offered between 138-150% of FPL.

2024 Federal Poverty Guidelines - Apply to the 2025 Marketplace Plan Year

Due to the passage of the 2021 American Rescue Plan, subsidies no longer stop at 400% of FPL. Premium subsidies now stop when the cost for the Benchmark silver plan in your county is less than 8.5% of household income.