How does the Premium Tax Credit Work?

The premium tax credit is a refundable federal credit that helps pay for the cost of health insurance. This credit reduces the amount of IRS taxes that you owe or can cause you to be eligible for a refund.

The IRS defines “affordable” health insurance as coverage that costs either less than 8% of your total income, or less than 6.3% of your total income if it covers pregnancy and maternity care. If you meet these requirements, then you are potentially eligible to apply for the premium tax credit.

The tax credit phases in once you earn a certain amount, and then it can phase out when your income exceeds another set amount. If you are eligible for this credit. If you are eligible, the premium tax credit will be applied directly to your monthly premium payments after submitting an insurance application on the marketplace website.

Most people receive the premium tax credit through an insurance policy if they do not qualify for any other health insurance coverage, or are uninsured and therefore cannot purchase coverage on their own at all. If you are eligible for the premium tax credit, you can apply for it when you apply for coverage through website by checking a box on the application. You will be asked to provide some personal information and income information, which will be assessed by the marketplace, or a government agency that manages plans on the marketplace.

As stated above, specific criteria must be met in order to qualify for this credit. Once eligibility has been determined, then the amount of this credit is based on your income and family status.

Also, Know;

How does the Premium Tax Credit Work
How does the Premium Tax Credit Work

Do you have to pay back the premium tax credit?

Premium tax credits are payments given to people that help them save on health care costs by providing tax relief. The premium tax credit is paid to the individual so they can buy a plan through the marketplace. The major difference between an individual making too much to qualify for Medicaid and having the premium credit is that individuals who have a higher income will still qualify for other subsidies such as Medicaid and SCHIP if they don’t make enough money to afford their health plan without the 32% premium tax credit.

The premium tax credit makes it possible for a family of four to get insurance for $100 a month. More expensive plans can still be bought from the marketplace even with the premium tax credit, but individuals can only get a plan that is 84% to 133% of their income. If an individual makes too much money to qualify for Medicaid (less than 138%) they will have to pay the remaining amount out of pocket if they want private insurance.

How does the premium tax credit affect my tax return?

If you were looking for a little bit of help in filing your taxes, we’ve got you covered! Did you know that if you make less than $48,240 and were enrolled in a qualified health insurance plan last year, you may qualify for the premium tax credit? This credit can lower an individual’s yearly taxes by up to $3,389!

That’s not all. Individuals who receive this credit may also qualify for lower out-of-pocket costs. Last year, an individual could have received up to $2,085 with out-of-pocket costs to spend on their health insurance!

If you don’t qualify for a premium tax credit, but purchased health insurance through the exchange because you weren’t able to find affordable coverage through your employer or on your own,  you will still receive a tax break with the help of the cost-sharing reduction premium assistance. If you qualify for the lower costs and didn’t receive the help you should, you should contact your state’s consumer assistance program (find yours by clicking here ).

Use the calculator below to estimate how much you paid for health insurance premiums last year. If your income was between 100 and 400% of the federal poverty level (FPL), this percentage is counted toward your tax returns as credits.

How can I avoid paying the premium tax credit?

In the U.S., health care is a complicated matter. There are so many factors to consider when evaluating costs, from your monthly premiums to your deductibles and copayments, that it’s enough to make a person break down in tears. One additional cost that you may end up paying out of pocket is the premium tax credit, which can be difficult to determine without professional help.

In this post, I’ll show you how to avoid paying the premium tax credit.

What Is The Premium Tax Credit?

The premium tax credit is a financial benefit that you receive when you have health insurance. It’s a deduction that reduces the amount of income tax that you owe by roughly 15 percent to 40 percent of your cost of insurance.

If you and your spouse file a joint return, the premium tax credit is available to both of you for all medical expenses paid by an insurance company or that are covered under the employer plan. Keep in mind that if you’ve had health coverage for less than 12 months, there’s no premium tax credit.

How To Avoid Paying Premium Tax Credit?

The premium tax credit is shown on Form 1095-A. One of the easiest ways to avoid paying the premium tax credit is to skip insuring yourself under the Affordable Care Act, or ACA. If you don’t want to acquire insurance, then you won’t be able to claim a premium tax credit.

When you do have health insurance and don’t need to receive any premium tax credits, it’s best not to pay more than what your insurance deductible is for specific services.

How does the premium tax credit affect my tax return?

The premium tax credit is a type of subsidy that helps people pay the costs associated with Obamacare. In general, the ACA imposes an individual mandate to purchase health insurance in the United States, with different levels of penalties for failing to comply. As such, this subsidy comes into play when people do not meet their annual limits on how much they can spend on health coverage for themselves and their dependents through a standard employer-sponsored health plan.

How can I avoid paying back my premium tax credit?

I’ll tell you how you can avoid paying back your premium tax credit.
No, it’s not by using the government’s website to enroll in a plan or by getting help from an insurance broker or agent. Those are all good ideas for “keeping” your premium tax credit, but I’m talking about avoiding paying back what you owe the government if they end up finding out that you got your premium tax credit ($300-$900) when legally, it wasn’t yours to keep ($0).

Do I have to pay back the premium tax credit?

Most US citizens who are eligible for premium tax credit are required to repay the government after a certain period of time.
There is a lot of confusion over whether or not certain types of taxpayers have to repay the government, which has led to some people being wrongly assessed as owing this type of repayment when they may not in fact be required to do so.


This blog post was created for those who want to understand the premium tax credit. This is an important part of the healthcare reform and it is often overlooked because it is a refundable credit. If you are interested in learning more about how the premium tax credit works, make sure you read our post and learn more about it today.

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