California Healthline: Study: Half in Individual Market Will Qualify for ACA Subsidies in 2014

Nearly half of all U.S. residents who currently purchase their own health insurance will be eligible for federal subsidies to offset the cost of buying coverage through the Affordable Care Act’s health insurance exchanges in 2014, according to a study released Wednesday by the Kaiser Family Foundation, Kaiser Health News‘ “Capsules” reports (Appleby, “Capsules,” Kaiser Health News, 8/14).


Under the ACA, U.S. residents with annual incomes between 100% and 400% of the federal poverty level — between $11,500 and $46,000 for an individual and $23,550 and $94,200 for a family of four — are eligible for federal subsidies to help offset the cost of purchasing coverage on the exchanges (Alonso-Zaldivar, AP/Sacramento Bee, 8/14). Subsidies will not be available to those offered affordable and comprehensive coverage through their employers or those on government health programs, such as Medicaid (“Capsules,” Kaiser Health News, 8/14).

Study Details

For the study, KFF researchers used the Congressional Budget Office’s estimate of an average premium for the second-lowest cost silver plan available through the exchanges in 2016 (CQ HealthBeat, 8/14). The researchers did not include those groups that are ineligible for subsidies in their estimates.


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