Hello,
I was recommended this site on another website. I couldn't find anything on my issue with a search.
I am trying to determine the ACA subsidy calculation in the case where my spouse is offered "affordable" insurance as a retiree, but wants to consider ACA coverage. It looks like her current plan qualifies as affordable for herself, but not affordable to include me. It seems that I will qualify for a subsidy, but she will not. An IRS document confirms that she could still enroll in ACA coverage. When shopping on our state's marketplace, if I indicate that she has affordable coverage they only offer coverage to me with a low subsidy. In order to look for plans for both of us I need to indicate she does not have affordable coverage, and then we are offered a much higher subsidy and plans covering both of us. The helpline for our state told me to just indicate that she doesn't have affordable coverage and the application will be approved, but I'm concerned about this.
Using some approximate numbers in our case, it looks like the full premium to cover myself would be $650 and $1300 to cover both of us. However, with the same household AGI, the calculator indicates a $70 subsidy to cover just myself and $900 to cover both of us (when indicating no other affordable coverage). I understand that she would likely have to pay the full $650 for her insurance, but it seems like the subsidy for me should be much higher than $70. Why such a big difference in subsidy amounts? Shouldn't my subsidy in this case be $450?
Thanks for any help you can provide.
I was recommended this site on another website. I couldn't find anything on my issue with a search.
I am trying to determine the ACA subsidy calculation in the case where my spouse is offered "affordable" insurance as a retiree, but wants to consider ACA coverage. It looks like her current plan qualifies as affordable for herself, but not affordable to include me. It seems that I will qualify for a subsidy, but she will not. An IRS document confirms that she could still enroll in ACA coverage. When shopping on our state's marketplace, if I indicate that she has affordable coverage they only offer coverage to me with a low subsidy. In order to look for plans for both of us I need to indicate she does not have affordable coverage, and then we are offered a much higher subsidy and plans covering both of us. The helpline for our state told me to just indicate that she doesn't have affordable coverage and the application will be approved, but I'm concerned about this.
Using some approximate numbers in our case, it looks like the full premium to cover myself would be $650 and $1300 to cover both of us. However, with the same household AGI, the calculator indicates a $70 subsidy to cover just myself and $900 to cover both of us (when indicating no other affordable coverage). I understand that she would likely have to pay the full $650 for her insurance, but it seems like the subsidy for me should be much higher than $70. Why such a big difference in subsidy amounts? Shouldn't my subsidy in this case be $450?
Thanks for any help you can provide.