In Medicaid expansion states, you're eligible for Medicaid up to 138% FPL; for APTC & CSR from 138 - 250% FPL & for APTC only from 250 - 400% FPL.
In Medicaid expansion states, you're eligible for Medicaid up to 138% FPL; for APTC & CSR from 138 - 250% FPL & for APTC only from 250 - 400% FPL.
In Medicaid expansion states, you're eligible for Medicaid up to 138% FPL; for APTC & CSR from 138 - 250% FPL & for APTC only from 250 - 400% FPL.
In Medicaid expansion states, you're eligible for Medicaid up to 138% FPL; for APTC & CSR from 138 - 250% FPL & for APTC only from 250 - 400% FPL.
Se la robé a Hori. 🤫
Se la robé a Hori. 🤫
It's vital to understand the FEDERAL POVERTY LEVEL (FPL), since that's critical for eligibility for Advance Premium Tax Credits (APTC), Cost Sharing Reduction (CSR) assistance and Medicaid Expansion.
It's vital to understand the FEDERAL POVERTY LEVEL (FPL), since that's critical for eligibility for Advance Premium Tax Credits (APTC), Cost Sharing Reduction (CSR) assistance and Medicaid Expansion.
This is called the "Medicaid Gap."
This is called the "Medicaid Gap."
Here's what the GOLD plan looks like at $23,000 income...they still get the $805/mo in tax credits, but the deductible & MOOP are much higher.
Here's what the GOLD plan looks like at $23,000 income...they still get the $805/mo in tax credits, but the deductible & MOOP are much higher.
This is called the "Medicaid Gap."
This is called the "Medicaid Gap."
Which is...problematic.
Which is...problematic.
Right now, a single adult earning $40K/yr only has to pay about 2.1% of their income for the benchmark Silver plan.
If the enhanced subsidies expire, under the old formula they’d pay about 5.8%.
Under the Trump formula they’ll have to pay about 6.7%.
Right now, a single adult earning $40K/yr only has to pay about 2.1% of their income for the benchmark Silver plan.
If the enhanced subsidies expire, under the old formula they’d pay about 5.8%.
Under the Trump formula they’ll have to pay about 6.7%.
(OK, I was the one who explained much of it to him but still.)
By: Benjamin Hardy on Wednesday, December 3, 2025
(OK, I was the one who explained much of it to him but still.)