PTC Formula:
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The Premium Tax Credit (PTC) is a refundable tax credit designed to help eligible individuals and families with low or moderate income afford health insurance purchased through the Health Insurance Marketplace.
The calculator uses the PTC formula:
Where:
Explanation: The Premium Tax Credit equals the difference between the maximum amount you're required to pay and your expected contribution toward health insurance premiums.
Details: Accurate PTC calculation helps determine eligibility for health insurance subsidies, ensures proper tax filing, and helps individuals understand their healthcare affordability options.
Tips: Enter both maximum contribution and expected contribution amounts in dollars. Both values must be non-negative numbers.
Q1: Who is eligible for Premium Tax Credit?
A: Generally, individuals and families with household income between 100% and 400% of the federal poverty level who purchase insurance through the Marketplace may qualify.
Q2: What is the maximum contribution?
A: The maximum amount an individual or family is expected to pay for health insurance based on their income level and federal poverty guidelines.
Q3: How is expected contribution determined?
A: Expected contribution is based on your actual household income and the cost of the second-lowest cost silver plan in your area.
Q4: Can PTC be received in advance?
A: Yes, you can choose to have some or all of the estimated credit paid in advance directly to your insurance company to lower your monthly premiums.
Q5: What happens if my income changes during the year?
A: You should report income changes to the Marketplace as they occur, as this may affect your credit amount and help avoid repayment obligations when filing taxes.