Subsidies may help make medical insurance more affordable for low income families and individuals in Wisconsin. A number of factors may change the type or amount of subsidies you receive that help cover health insurance costs. These include:
The major factor in determining subsidies, such as the Advance Premium Tax Credit (APTC), is your income. If you experience a change in income, that may result in a change to your subsidies. Subsidies are in place to help low income people in WI pay for medical insurance premiums and expenses.
The following changes may affect your income and eligibility for APTC and must be reported to the Health Insurance Marketplace as soon as they occur:
This may change your subsidy level, because the cost of health insurance varies depending on where you live.
Generally, at age 26, dependents can no longer get coverage through their parents’ policy. This results in a change in family size and may reduce the subsidy amount for the remaining family members. Fortunately, catastrophic coverage is available to provide people under 30 with a more affordable insurance option if they do not qualify for APTCs or other subsidies.
If your family becomes eligible for other health coverage, this may affect subsidy eligibility. For example, if a family member turns 65 and becomes eligible for Medicare, or a family member becomes disabled and is eligible for other programs, the subsidy for the rest of the family may change.
Any other changes affecting household size or coverage status may affect subsidies for low income medical insurance in Wisconsin.
Subsidies help provide affordable medical insurance options for low income residents in Wisconsin. If your subsidies have been reduced and your current plan is no longer affordable, get a quote for a new health plan, or call us at 608.644.3430.