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Departments & Programs,UW Medical Foundation,Patient Resources,Social Work Services Quick Guide,Social Work Manual,Financial,Health Care Exchange

Cost Sharing Reduction

Cost Sharing Reduction - Departments & Programs, UW Medical Foundation, Patient Resources, Social Work Services Quick Guide, Social Work Manual, Financial, Health Care Exchange

Focus

The Marketplace cost-sharing reduction lowers the amount you have to pay for out-of-pocket costs like deductibles, coinsurance, and copayments.

Health insurance companies offering coverage through the Marketplace must lower how much you pay out of pocket when you get medical care if your household income falls between the following amounts. They do this only for Silver plans.

The lower your income within these ranges, the more you’ll save on out-of-pocket costs.

You can use the Kaiser Family Foundation calculator to see if you may qualify for lower out-of-pocket costs.

If the individual resides in a state that did expand Medicaid (such as Wisconsin) then they would not be able to get subsidies unless they were above 138%FPL.

Resources

Premium Tax Credit