When you purchase health insurance coverage through AHIPE or the public exchange (government website), you might be able to get lower costs on deductibles, copayments and other out-of-pocket expenses. It depends on your income and family size.
Qualifying for lower out-of-pocket costs in the exchange:
When you purchase a qualified plan through the exchange, the amount you pay in out-of-pocket expenses for Essential Health Benefits is based on your income. It's on a sliding scale to keep it affordable for you.
Estimating Your Income:
Use this 2013 information as a reference, even though the amounts are likely to be slightly higher in 2014. Also, amounts can be different based on family size, up to 8 family members.
* Up to $28,725 for individuals
* Up to $38,775 for a family of 2
* Up to $48,825 for a family of 3
* Up to $58,875 for a family of 4
* Up to $68,925 for a family of 5
* Up to $78,975 for a family of 6
This is not to be confused with subsidized premiums:
You can qualify for reduced monthly premiums without qualifying for reduced out-of-pocket expenses when you use your plan.