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MorningsideHealth & Risk

My income changed mid-year. How does that affect my marketplace plan?

Two considerations. (1) Subsidy eligibility — premium tax credits and cost-sharing reductions key off projected annual income. If your income rises, your subsidy may decrease and the difference will reconcile at tax filing (you may owe back-subsidy). If income drops, you may qualify for larger subsidies; report the change to the marketplace promptly to capture them in real time. (2) Eligibility tier — moving above or below the FPL-percentage thresholds for Medicaid and the NY Essential Plan can change which program you're enrolled in (current thresholds at info.nystateofhealth.ny.gov). Income changes are a qualifying event for SEP, so you can also change plans mid-year.


Category
Personal Insurance
Audience
For existing clients
Topic
Personal Insurance

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