First, a few questions...
We've provided some tips and additional help to assist you in answering these questions.
If you're unsure, you can always change your answer to see how your results would vary.
Are you eligible to enroll in your spouse's or partner's plan?
You may be eligible to be added to your spouse's or partner's plan, whether it's their employer's
plan or a private policy. You may only be able to do so at certain times of the year, or based on a life event that results in losing eligibility for an employer group plan.
Do you qualify for a federal premium tax credit for coverage from the Marketplace?
In most states, anyone making between 100% and 400% of the Federal Poverty Level (FPL) can get some
type of premium assistance for plans purchased from the public Marketplace. Based on 2017 guidelines,
an individual earning less than $47,550 is likely eligible for a premium tax credit; a family of 2 earning less
than $64,100, and a family of 4 earning less than $97,200 are likely to be eligible. Learn more
Does your employer offer any type of reimbursement account for health coverage for people who
retire before the age of 65?
Your former employer may set up and contribute to an account that you can use to be reimbursed for
certain retiree medical plan premiums and other qualified medical expenses. More
A retiree Health Reimbursement Arrangement or "HRA" can go by many different names, such as Retiree Medical Account, Retiree Health Account, Retiree Reimbursement Account, or similar. These plans are set up by employers for the benefit of their eligible retirees and usually provide a lump sum, annual, or other periodic credit into an account that may be used for the reimbursement of qualified medical expenses when the retiree meets certain reimbursement eligibility requirements. The qualified medical expenses are defined by the Plan, but will often include certain types of medical premiums, and out-of-pocket medical expenses such as deductibles and co-payments. IMPORTANT: Under the Affordable Care Act, a retiree may not receive these HRA benefits and also be eligible for a federal premium tax credit. If you think you might qualify for both an employer HRA and a federal premium tax credit, you will need to determine the value of each and choose one or the other. You will need to decline the use of the HRA if you want to apply for the tax credit.