ACA subsidy calculator
Estimate your premium tax credit and what a benchmark Silver plan might cost you each month.
Independent agency
Most health coverage thresholds are set as a percentage of the federal poverty level (FPL). This works out yours and shows which Marketplace savings bands that percentage puts you near.
Estimates only. Figures on this page use published plan-year values and the details you enter. They are not a quote, an offer of coverage, or a determination of eligibility. Your final premium and any tax credit are confirmed at enrollment with the carrier or HealthCare.gov. Everything is calculated in your browser; nothing you type is sent to us or anyone else.
An estimate is a starting point. Viola Lucero, CLTC, and the team at Rise Up Benefits Group in Chandler can look up the real figures for your situation, check your doctors and prescriptions, and explain what the numbers mean for you. We speak insurance, so you don't have to.
Or see real Marketplace plans for your ZIP code:
Rise Up Benefits Group is not affiliated with, endorsed by, or operating on behalf of HealthCare.gov, the Health Insurance Marketplace, or any federal or state government agency. Plan availability, premiums and advance premium tax credits are set by the carriers and the Marketplace.
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2026 Marketplace coverage uses the 2025 HHS guidelines: $15,650 for one person plus $5,500 for each additional person, in the 48 contiguous states.
Modified adjusted gross income for everyone on your tax return. It is close to your adjusted gross income, plus some untaxed items such as tax-exempt interest and untaxed Social Security.
Everyone on your federal tax return: you, your spouse if you file jointly, and anyone you claim as a dependent, whether or not they need coverage.
$21,597 a year for one person and $29,187 for a couple, using the 2025 guidelines. It matters in Arizona because most adults with income up to 138% qualify for AHCCCS, the state Medicaid program. AHCCCS confirms eligibility under its own rules, so treat this as a guide.
$62,600 for one person, $84,600 for a couple and $128,600 for a family of four. In 2026, households above 400% get no premium tax credit on HealthCare.gov, so landing just under or just over this line can make a large difference to what you pay.
The Marketplace uses the guidelines HHS publishes in the January before the coverage year, because those are the figures in place when open enrollment runs. So 2026 plans use the 2025 guidelines, and 2027 coverage will use the 2026 guidelines. This calculator moves to the new figures when that switch happens.
AHCCCS works from the federal poverty level too, but it sets its own limits for each program and can count income and household differently from the Marketplace. It also looks at current monthly income. Use this calculator as a starting point, then confirm with AHCCCS or let us talk it through with you.
For Marketplace coverage, enter your expected household income for the whole year. That is what HealthCare.gov uses to set your tax credit, and it is checked against your tax return later. If your income is uneven, such as part-time work or a mid-year retirement, add up your best estimate for the full year.
Up to 250% of the poverty level, which is $39,125 for one person for 2026 coverage. Cost-sharing reductions lower deductibles and copays on Silver plans only, in three bands, with the most help at or below 150%. The calculator shows which savings band your income falls near.
Estimate your premium tax credit and what a benchmark Silver plan might cost you each month.
Compare what COBRA would cost you against a Marketplace plan for the rest of the year.
Find out in about a minute whether a recent life event lets you enroll outside Open Enrollment.
Your job offers health insurance, but covering the family costs a lot. Check whether your spouse and children can get a Marketplace tax credit anyway.
See how much tax a Health Savings Account contribution could save you in 2026, within the IRS limits.
See your seven-month Initial Enrollment Period, your earliest coverage date and your Medigap open enrollment window.
Book a free, no-pressure review with Viola in Chandler, by phone or by video. Bring your questions; leave with answers.
2160 North Alma School Road, Suite 102, Chandler, AZ 85224 (480) 300-5776
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