Financial Help

Do you qualify for financial assistance? Find out now.

The amount of assistance you get is determined by your income and family size. There are two types of health insurance financial assistance available through the Marketplace: the premium tax credit and the cost-share reduction.

The premium tax credit (APTC) helps lower your monthly premium expenses.  The credit is available to people with family incomes between 100% and 400% of the poverty level who buy coverage through the Health Insurance Marketplace. The premium tax credit can be used to purchase any Marketplace plan, including Bronze, Silver, Gold, and Platinum plans. You can choose to have your tax credit paid directly to PHP so that you pay less each month, or, you can decide to wait to get the tax credit in a lump sum when you do your taxes next year.

Cost-share reductions (CSR) help you with your costs when you use health care, like going to the doctor of having a hospital stay. These reductions are only available to people purchasing their own insurance who make between 100% and 250% of the poverty level and Native Americans. If you qualify for a cost share reduction, you would need to sign up for a silver plan to take advantage of it. Unlike the premium tax credit, cost share reductions only work with silver plans. With a cost share reduction, you still pay the same low monthly rate of a silver plan, but you also pay less when you go to the doctor or have a hospital stay than you otherwise would.

Use this calculator to see if you qualify for assistance.