Marketplace plans

Health insurance affordability programs

View and compare:

View our plan books:

View Summary of Benefits and Coverage (SBC).

The Marketplace (also known as the Exchange) is a website (healthcare.gov) where individuals can compare and purchase health insurance plans. Marketplace plans are great for individuals and families who are eligible for discounts or financial subsidies. These discounts can include:

Tax credits - lower the monthly premium you pay for health insurance and are available for those who make about $51k or less for a single person. Advance payments of the premium tax credit are available to individuals with household income of at least 100% but not more than 400% of the Federal Poverty Level (FPL). You can use your tax credit on most Marketplace plans.

Cost sharing reductions

  • Lower the amount you pay on health care services.
  • Cost sharing reduction plans are available for those who make about $31k or less for a single person.
  • Cost-sharing reduction is only available on silver plans.
  • There are three levels of cost sharing reduction based on income brackets:
    • 100–150 percent of FPL
    • 151–200 percent of FPL
    • 201–250 percent of FPL

 

2020 plan year Federal Poverty Level guidelines

 Percentage of Federal Poverty Level
Size of Household100%250%400%
1 Person$12,760$31,900$51,040
2 People$17,240$43,100$68,960
3 People$21,720$54,300$86,880
4 People$26,200$65,500$104,800
Coverage InformationMay qualify for
cost-sharing reductions
and advanced
premium tax credits
May qualify for
cost-sharing reductions
and advanced
premium tax credits
May qualify for advanced premium tax credits

 

WellFirst Health offers a variety of options for silver plans that are eligible for cost-sharing reduction plans.

Health Insurance Marketplace Calculator – see if you qualify for financial help.

This calculator displays information for 2020 plans. Updated 2021 calculator coming soon!