My ACA APTC is decreasing significantly, from $767.65/mo to $388.29/mo, for 2022. I live in a state with its own marketplace, and this is the lowest APTC I’ve been granted since the state switched over to its own exchange. My income didn’t change. Any ideas?

Hi everyone! I just got a message in my exchange inbox two days ago and checked it this morning. I was under the impression that, due to ARPA, people would be getting larger tax credits for their marketplace insurance plans, so I was a little shocked to see that my APTC is decreasing by nearly $400/mo for next year.

We typically purchase Capital Blue Cross Gold PPO plans because I have a lot of health issues, but we were planning to possibly investigate a plan with Geisinger, which is more expensive than our current plan, because the out of state hospital I go to for pregnancy care doesn’t have any kind of relationship with CBC and nothing would be covered if I went there again. But this new information about the APTC prices us out of that Geisinger plan (which I’m not even sure will be offered since open enrollment isn’t quite here yet). Does anyone know why my APTC might be so drastically different from the one I had in 2021?

I do want to say that I did the calculation, and technically the government IS allowed to lessen my APTC this much without increasing the amount I am paying in premiums past 8.5% of my yearly income (our income is less than 400% above the federal poverty level for a family of three).

I will also say that my son is on full cost CHIP, so I’m not sure if that factors into the aforementioned calculation. If so, we would definitely pay more than 8.5% of our income. Any suggestions as to what might be going on here would be appreciated!

submitted by /u/northstar1492
[link] [comments]Hi everyone! I just got a message in my exchange inbox two days ago and checked it this morning. I was under the impression that, due to ARPA, people would be getting larger tax credits for their marketplace insurance plans, so I was a little shocked to see that my APTC is decreasing by nearly $400/mo for next year. We typically purchase Capital Blue Cross Gold PPO plans because I have a lot of health issues, but we were planning to possibly investigate a plan with Geisinger, which is more expensive than our current plan, because the out of state hospital I go to for pregnancy care doesn’t have any kind of relationship with CBC and nothing would be covered if I went there again. But this new information about the APTC prices us out of that Geisinger plan (which I’m not even sure will be offered since open enrollment isn’t quite here yet). Does anyone know why my APTC might be so drastically different from the one I had in 2021? I do want to say that I did the calculation, and technically the government IS allowed to lessen my APTC this much without increasing the amount I am paying in premiums past 8.5% of my yearly income (our income is less than 400% above the federal poverty level for a family of three). I will also say that my son is on full cost CHIP, so I’m not sure if that factors into the aforementioned calculation. If so, we would definitely pay more than 8.5% of our income. Any suggestions as to what might be going on here would be appreciated! submitted by /u/northstar1492 [link] [comments]Read Morer/HealthInsurance

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