Agent & Consumer Reference

2026 ACA & Subsidy Cheat Sheet

Everything you need on one page: Federal Poverty Level chart for household sizes 1–8, expected premium contributions, Marketplace out-of-pocket maximums, Medicaid and CHIP eligibility lines, employer affordability threshold, and APTC repayment limits for the 2026 coverage year.

Last updated April 18, 2026 Coverage Year 2026 (uses 2025 FPL) Sourced from HHS, IRS, and the Federal Register

This reference pulls together every income and threshold figure Medicare Moms agents (and their clients) commonly need when talking about 2026 ACA Marketplace coverage. Every number on this page comes directly from the U.S. Department of Health & Human Services, the IRS, or the Federal Register. All amounts apply to the 48 contiguous states and Washington, D.C. Alaska and Hawai'i use separate, higher poverty guidelines — check aspe.hhs.gov/poverty-guidelines for those.

Prefer a printable one-page version? Grab the 2026 ACA Quick Reference — every number on this page condensed onto a single letter-size page, designed to print cleanly and live on your desk during enrollment conversations.

On This Page

  1. 2025 Federal Poverty Level chart
  2. Expected premium contribution by FPL
  3. Medicaid & CHIP eligibility
  4. Marketplace out-of-pocket maximums
  5. Employer coverage affordability
  6. APTC repayment limits
  7. Tax filing thresholds
  8. Affordability exemption (catastrophic)
  9. Sources & disclaimers

1. 2025 Federal Poverty Level Chart

Eligibility for ACA premium tax credits, cost-sharing reductions, Medicaid expansion, and CHIP is measured against the prior year's Federal Poverty Level. Coverage Year 2026 uses the HHS 2025 poverty guidelines. Figures shown are annual household income in U.S. dollars.

2025 FPL by Household Size

For determining 2026 ACA subsidy eligibility. 48 contiguous states and D.C.

Household Size 100% FPL 138% FPL
Medicaid (expansion)
150% FPL 200% FPL 250% FPL 300% FPL 400% FPL
Subsidy cliff
1 person$15,650$21,597$23,475$31,300$39,125$46,950$62,600
2 people$21,150$29,187$31,725$42,300$52,875$63,450$84,600
3 people$26,650$36,777$39,975$53,300$66,625$79,950$106,600
4 people$32,150$44,367$48,225$64,300$80,375$96,450$128,600
5 people$37,650$51,957$56,475$75,300$94,125$112,950$150,600
6 people$43,150$59,547$64,725$86,300$107,875$129,450$172,600
7 people$48,650$67,137$72,975$97,300$121,625$145,950$194,600
8 people$54,150$74,727$81,225$108,300$135,375$162,450$216,600

2. Expected Premium Contribution by Income Level

How much of a household's income goes toward the benchmark (second-lowest-cost Silver) plan under the IRS premium tax credit formula. Because enhanced subsidies from the Inflation Reduction Act expired December 31, 2025, the 2026 percentages reflect the pre-ARPA formula — which is higher at most income levels and excludes anyone above 400% FPL entirely.

Benchmark Silver Premium Cap (% of Income)

Applicable Figure used in premium tax credit calculations, CY 2026.

Household Income Expected Contribution Notes
Less than 133% FPL2.10%Below Medicaid threshold in most states
133% FPL3.14%Expansion-state Medicaid transition zone
138% FPL3.45%Medicaid eligibility line in expansion states
150% FPL4.19%Strongest CSR (94% AV Silver) tier
200% FPL6.60%Upper bound for 87% AV CSR
250% FPL8.44%Upper bound for 73% AV CSR
300–400% FPL9.96%Maximum expected contribution
More than 400% FPLIneligibleNo premium tax credit; full premium owed

3. Medicaid & CHIP Eligibility

Medicaid and CHIP (Children's Health Insurance Program) cover different populations depending on state. Eligibility is set at the state level within federal minimums. Enrollees at or below these thresholds typically qualify for Medicaid or CHIP instead of Marketplace subsidies.

Typical Income Lines for Medicaid & CHIP

Ranges reflect federal minimums and common state thresholds. Check your specific state for exact cutoffs.

Program / Group Typical Income Threshold Notes
Medicaid — adults (expansion states) Up to 138% FPL 41 states + D.C. have expanded Medicaid as of 2026
Medicaid — adults (non-expansion states) Varies; typically well below 100% FPL for parents, usually none for childless adults TX, FL, TN, AL, MS, SC, GA, WY, KS; coverage gap exists
Medicaid — pregnant women Typically 138–200% FPL (state-dependent) Many states extend higher, up to 300% FPL
Medicaid — children At least 138% FPL nationwide; many states higher Children under 19 have the broadest Medicaid eligibility
CHIP — children Typically 170% to 400% FPL depending on state Bridges the gap above Medicaid for children; median cutoff ~255% FPL
CHIP — pregnant women (some states) Up to 300% FPL in participating states Not offered in all states
Referral rule of thumb: If an applicant's income is below 138% FPL in an expansion state, or their children's household income is below the state CHIP threshold, their application should route through Medicaid/CHIP rather than a Marketplace plan. Healthcare.gov and state exchanges automatically screen for this when an application is submitted.

4. Marketplace Out-of-Pocket Maximums (2026)

The maximum a consumer can be required to pay out-of-pocket in a single plan year for in-network essential health benefits. Silver plans qualify for Cost-Sharing Reductions (CSRs) at lower income levels, which lower the MOOP substantially.

2026 MOOP by Plan Type & CSR Level

Federal limits for non-grandfathered individual and group plans.

Plan Type Income Level Individual MOOP Family MOOP
Standard (all plans)All income levels$10,600$21,200
CSR Silver — 73% AV201–250% FPL$8,450$16,900
CSR Silver — 87% AV151–200% FPL$3,500$7,000
CSR Silver — 94% AVUp to 150% FPL$3,500$7,000

5. Employer Coverage Affordability

If an employee is offered health coverage through their job, they generally can't qualify for Marketplace subsidies unless the employer offer is deemed "unaffordable" by the IRS standard. The 2026 threshold is pegged to self-only coverage cost, but family-affordability determinations now look at the cost of family coverage (a 2023 IRS rule change).

Affordability Threshold

9.96%

Employer-sponsored coverage is considered unaffordable if the employee's share of premium exceeds this percentage of household income. Above this line, the employee (and family) may qualify for Marketplace subsidies instead.

Family Affordability Basis

Cost of family coverage

For dependents, affordability is now measured against the cost to enroll the family — not just the employee. This expanded eligibility significantly starting in 2023 and remains in effect for 2026.

Source: IRS Revenue Procedure 2025-25 and 26 CFR 1.36B-2. The affordability percentage is indexed annually.

6. APTC Repayment Limits (Tax Year 2025)

If a household receives more Advance Premium Tax Credit (APTC) than they should have based on actual year-end income, they owe the excess back at tax time — but the IRS caps repayment at these amounts for lower-income households. Tax year 2026 changes are noted below.

Maximum APTC Repayment for Tax Year 2025

What a household owes back if they received too much advance premium tax credit.

Income (% of FPL) Single Taxpayers All Other Taxpayers
Under 200% FPL$375$750
200% – 299% FPL$975$1,950
300% – 399% FPL$1,625$3,250
400% FPL and aboveNo capNo cap
Important change for tax year 2026: Public Law 119-21 (the One Big Beautiful Bill Act, 2025) eliminates the APTC repayment caps entirely starting with tax year 2026. Households that overstate expected income and receive more APTC than they qualify for will owe the full excess at tax time, with no cap at any income level.

7. Tax Filing Thresholds (Tax Year 2025)

The minimum gross income at which a taxpayer under age 65 must file a federal return. Important for ACA subsidy reconciliation because APTC recipients must file a return even if their income is below these thresholds.

Must-File Income Thresholds (under age 65)

Based on the 2025 standard deduction by filing status.

Filing Status Threshold
Single$15,750
Head of Household$23,625
Married Filing Jointly (both under 65)$31,500
Qualifying Surviving Spouse w/ Qualifying Child$31,500
Married Filing SeparatelyAny gross income

8. Affordability Exemption (Catastrophic Coverage, Age 30+)

Catastrophic health plans on the Marketplace are normally limited to enrollees under 30. People 30 and older can qualify under a "hardship exemption" if no affordable Marketplace or employer plan is available.

Affordability Cutoff

8.05%

If the lowest-cost Marketplace or employer coverage (after APTC) would cost more than this percentage of household income, the enrollee age 30+ can purchase a catastrophic plan under the affordability exemption.

What Catastrophic Plans Cover

Essential health benefits, three primary-care visits per year before deductible, and all preventive services. Very high deductibles (close to the annual MOOP) make them best suited as a bridge or emergency-only coverage option.

Source: 2026 Marketplace Integrity and Affordability rule, Federal Register (federalregister.gov).

Sources

  1. U.S. Department of Health & Human Services, 2025 Poverty Guidelines, aspe.hhs.gov/poverty-guidelines
  2. IRS Revenue Procedure 2025-25, Applicable Figures for ACA Premium Tax Credit, irs.gov/pub/irs-drop/rp-25-25.pdf
  3. IRS Revenue Procedure 2024-40, Inflation Adjustments for Tax Year 2025, irs.gov/pub/irs-drop/rp-24-40.pdf
  4. 2026 Patient Protection and Affordable Care Act Marketplace Integrity and Affordability, Federal Register, federalregister.gov
  5. Public Law 119-21 (One Big Beautiful Bill Act of 2025), full text at congress.gov
  6. Medicaid.gov Eligibility & State Standards, medicaid.gov/medicaid/eligibility
  7. KFF, State-level Medicaid and CHIP eligibility data, kff.org
  8. Healthcare.gov, official ACA Marketplace, healthcare.gov

Disclaimer: This page compiles publicly available federal data for quick reference. Amounts and rules are accurate as of publication (April 18, 2026) but change with new annual guidelines, IRS procedures, and legislation. Always verify with the original source or with a licensed insurance agent before relying on any figure for a specific enrollment or tax filing decision. Medicare Moms is a licensed insurance agency and is not affiliated with or endorsed by any government agency.

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