Estimate Your 2027 ACA Subsidy

See how much your monthly premium drops, using live CMS Marketplace data.

What is APTC?

The Advance Premium Tax Credit (APTC) is a federal subsidy that reduces the monthly premium of ACA Marketplace health insurance for households with income between 100% and 400% of the Federal Poverty Level (approximately $15,960 to $63,840 for a single individual in 2026). The amount is calculated by comparing your household income against the cost of the benchmark Silver plan in your county, and is applied directly to your monthly premium, so you pay only the remainder.

Source: 26 U.S. Code § 36B · CMS Marketplace API · IRS Rev. Proc. 2026-26

How APTC Is Calculated

The APTC is calculated by comparing your household income against the cost of the second-lowest-cost Silver plan (the “benchmark plan”) available in your county. The federal government covers the difference between your required contribution (a sliding share of your income) and the benchmark plan's monthly premium.

A household of 2 (two 30-year-old adults in New York, NY , ZIP 10001) earning $60,000 is at 277% of the Federal Poverty Level, so their required contribution is 9.51% of income, or $476/month. The benchmark Silver plan in that ZIP (Fidelis Care) is $868/month per adult, so $1,736/month for the couple. Their APTC is the difference: $1,261/month, regardless of which ACA plan they actually choose.

What you are required to contribute (2027)

Source: IRS Rev. Proc. 2026-26

0%2%4%6%8%10%100%150%200%250%300%400%Household income as % of Federal Poverty Level10.22% up to 400%

Below 100% FPL you are not eligible for APTC; Medicaid applies instead. Up to 133% your required contribution is 2.15% of income, and from 300% to 400% it is 10.22%. Above 400% FPL there is no credit at all: the enhanced rules that removed that limit expired after 2025.

The Benchmark Plan

Your APTC is calculated against the second-lowest-cost Silver plan in your county, not the plan you choose. If you select a cheaper Bronze plan, the unused subsidy reduces your premium further. If you select a more expensive Gold plan, you pay the difference yourself.

Reconciliation at Tax Time

APTC is an estimate. If your actual income differs from your estimate, the IRS reconciles the difference on Form 8962. Income overestimation means a tax bill. Income underestimation means a refund. Report changes to your Marketplace mid-year to minimize reconciliation.

2026 Federal Poverty Level Reference

Used to calculate APTC and CSR eligibility thresholds. Source: HHS. Alaska, Hawaii and the required-contribution percentages are on the ACA income limits page.

What each part of the scale unlocks

MedicaidCSR 94%CSR 87%CSR 73%APTCNo APTCFull price

CSR tiers stack on top of APTC but apply to Silver plans only, and stop at 250% FPL, which is why that column is highlighted in the table below.

Household Size100% FPL150% FPL200% FPL250% FPL400% FPL
1$15,960$23,940$31,920$39,900$63,840
2$21,640$32,460$43,280$54,100$86,560
3$27,320$40,980$54,640$68,300$109,280
4$33,000$49,500$66,000$82,500$132,000
5$38,680$58,020$77,360$96,700$154,720
6$44,360$66,540$88,720$110,900$177,440
7$50,040$75,060$100,080$125,100$200,160
8$55,720$83,580$111,440$139,300$222,880
9$61,400$92,100$122,800$153,500$245,600
10$67,080$100,620$134,160$167,700$268,320
11$72,760$109,140$145,520$181,900$291,040
12$78,440$117,660$156,880$196,100$313,760
13$84,120$126,180$168,240$210,300$336,480
14$89,800$134,700$179,600$224,500$359,200

48 contiguous states and DC. 250% FPL (highlighted) = CSR eligibility cutoff. Source: 2026 HHS Poverty Guidelines.

APTC and CSR Are Separate Benefits

Advance Premium Tax Credit (APTC)

  • Reduces your monthly premium
  • Available on Bronze, Silver, Gold, and Platinum plans
  • Eligibility: 100% to 400% FPL (no credit above 400% since 2026)
  • Applied directly: insurer receives the credit; you pay the reduced amount
  • Reconciled annually on IRS Form 8962

Cost-Sharing Reduction (CSR)

  • Reduces deductible, copays, coinsurance, and out-of-pocket maximum
  • Silver plans only: cannot apply to Bronze, Gold, or Platinum
  • Eligibility: 100%–250% FPL
  • Three tiers: 73%, 87%, 94% (higher = lower cost-sharing)
  • No annual reconciliation: automatically applied to Silver plan variant
CSR makes Silver plans significantly more valuable for households below 250% FPL. A Silver plan at 150% FPL with CSR 94% may have a $100 deductible, identical to many Platinum plan structures, at a lower premium.

Frequently Asked Questions

What is APTC?
The Advance Premium Tax Credit (APTC) is a federal tax credit that reduces the monthly cost of ACA Marketplace health insurance for households with income between 100% and 400% of the Federal Poverty Level. The enhanced rules that let households above 400% FPL qualify expired after 2025, so for 2027 there is no credit above 400% FPL. The credit is paid directly to your insurer; you pay only the remaining balance.
How is my APTC amount determined?
The IRS uses the premium of the second-lowest-cost Silver plan in your county as a benchmark. Your required contribution is a percentage of your income set by the IRS each year: for 2027, from 2.15% below 133% FPL up to 10.22% between 300% and 400% FPL (IRS Rev. Proc. 2026-26). APTC equals the benchmark premium minus your required contribution. The dollar amount is fixed regardless of which plan you select.
What income qualifies for APTC in 2027?
For a single individual, income between $15,960 (100% FPL) and $63,840 (400% FPL) qualifies. For a family of four, the range is $33,000 to $132,000. Above 400% FPL there is no credit in 2027, however high the benchmark premium is.
What is the difference between APTC and CSR?
APTC reduces your monthly premium and applies to any metal tier plan. CSR (Cost-Sharing Reduction) reduces what you pay when you use healthcare: deductibles, copays, coinsurance, and out-of-pocket maximums. CSR is available only on Silver plans for households between 100% and 250% FPL.
Can I use APTC on a Bronze or Gold plan?
Yes. APTC can be applied to Bronze, Silver, Gold, or Platinum plans from any ACA Marketplace insurer in your area. CSR, however, is only available on Silver plans.
What happens if my income changes after I enroll?
Report income changes to your Marketplace as soon as they occur. If your income rises, your APTC may decrease, and receiving too much APTC during the year means you repay the excess when you file Form 8962. If your income decreases, you may be owed additional credit as a tax refund.
What if I overestimated my income when applying?
If your actual income is lower than estimated, you received less APTC than you were entitled to. The IRS will calculate the difference when you file and issue a credit or refund. There is no penalty for underestimating in this direction.
Can I get APTC if my employer offers health insurance?
Only if your employer's coverage is deemed unaffordable or inadequate by ACA standards. Coverage is considered unaffordable if the employee-only premium exceeds 10.22% of household income (the 2027 threshold). If employer coverage is affordable and meets minimum value, you cannot claim APTC for Marketplace coverage.
Does Medicaid eligibility affect APTC?
Yes. Medicaid-eligible individuals are not eligible for APTC. Medicaid eligibility is determined separately by each state based on income and other factors. If you qualify for Medicaid, you must enroll in Medicaid; you cannot decline Medicaid to receive APTC instead.
Is this calculator an official government tool?
No. This calculator uses official CMS Marketplace API data to estimate APTC based on your inputs. Results are estimates only. Official APTC determinations are made by your state Marketplace or HealthCare.gov during enrollment. Policymage is not affiliated with any government agency.

Data Sources & Methodology

APTC estimates are returned directly from the CMS Marketplace API (marketplace.api.healthcare.gov), the same federal API that powers HealthCare.gov. Policymage does not apply proprietary adjustments to the API response.

Federal Poverty Level thresholds are sourced from the 2026 HHS Poverty Guidelines. CSR tier interpretations follow 45 CFR § 156.420. Required contribution percentages follow the IRS Revenue Procedure for the applicable plan year.