Cal11 calculator

Federal Tax Credit Health Insurance Calculator 2019

Reviewed by Calculator Editorial Team

Use this calculator to determine your 2019 federal tax credit for health insurance premiums. The Premium Tax Credit helps make health insurance more affordable by reducing your taxable income.

What is the federal tax credit for health insurance?

The federal tax credit for health insurance premiums is a subsidy available through the Affordable Care Act (ACA) to help individuals and families purchase health insurance through the Health Insurance Marketplace.

This credit is designed to make health insurance more affordable by reducing the amount of income subject to income tax. The credit amount varies based on your income, household size, and location.

How the tax credit works

The tax credit works by reducing your taxable income, which in turn lowers the amount of tax you owe. The credit is applied to your tax return, either as a refundable or non-refundable credit depending on your income level.

Formula used

The tax credit amount is calculated using the following formula:

Tax Credit = (Monthly Premium × 12) × (Credit Percentage)

Where the credit percentage is determined by your income and household size.

The credit can be claimed as an advance payment (paid directly to your insurance company) or as a credit on your tax return. The advance payment reduces your monthly premium, while the tax credit reduces your tax liability.

Eligibility requirements

To qualify for the federal tax credit, you must meet certain requirements:

  • You must purchase health insurance through the Health Insurance Marketplace.
  • You must have income that falls within the federal poverty level (FPL) guidelines.
  • You must not be eligible for other coverage through an employer or government program.
  • You must not be claimed as a dependent on someone else's tax return.

The income limits for the tax credit are based on the federal poverty level, which is adjusted annually. For 2019, the income limits were as follows:

Household Size Income Limit
1 $12,880
2 $17,080
3 $21,280
4 $25,480
5 $29,680

How to claim the credit

There are two ways to claim the federal tax credit:

  1. Advance payment: The credit is paid directly to your insurance company, which reduces your monthly premium.
  2. Tax credit: The credit is applied to your tax return, reducing your tax liability.

To claim the credit, you must complete an application through the Health Insurance Marketplace. The application will determine your eligibility and the amount of the credit.

Note: The federal tax credit for health insurance premiums was expanded under the Affordable Care Act and is available to individuals and families with incomes up to 400% of the federal poverty level.

Worked examples

Let's look at two examples to illustrate how the tax credit works.

Example 1: Single person with income $15,000

For a single person with an income of $15,000, the tax credit would be calculated as follows:

  • Monthly premium: $200
  • Annual premium: $2,400
  • Credit percentage: 8.5% (based on income and household size)
  • Tax credit: $2,400 × 0.085 = $204

This means the person would receive a tax credit of $204, which reduces their taxable income by that amount.

Example 2: Family of four with income $30,000

For a family of four with an income of $30,000, the tax credit would be calculated as follows:

  • Monthly premium: $400
  • Annual premium: $4,800
  • Credit percentage: 5.5% (based on income and household size)
  • Tax credit: $4,800 × 0.055 = $264

This means the family would receive a tax credit of $264, which reduces their taxable income by that amount.

Frequently asked questions

Who is eligible for the federal tax credit for health insurance?
Individuals and families who purchase health insurance through the Health Insurance Marketplace and have income within the federal poverty level guidelines.
How is the tax credit calculated?
The tax credit is calculated based on your income, household size, and the cost of your health insurance premium. The formula used is (Monthly Premium × 12) × (Credit Percentage).
Can I claim the tax credit as an advance payment?
Yes, you can receive the tax credit as an advance payment directly to your insurance company, which reduces your monthly premium.
Is the tax credit refundable?
The tax credit is refundable for individuals with incomes below 100% of the federal poverty level and non-refundable for those with incomes between 100% and 400% of the federal poverty level.
How do I apply for the tax credit?
You must complete an application through the Health Insurance Marketplace, which will determine your eligibility and the amount of the credit.