What changed for 2026
From 2021 through 2025, temporary "enhanced" subsidies (from the American Rescue Plan and the Inflation Reduction Act) made the premium tax credit larger and removed the income cap entirely. Those enhancements expired on December 31, 2025. For the 2026 coverage year, the original Affordable Care Act rules return:
- The 400% subsidy cliff is back: earn even one dollar over 400% of the poverty level and your premium tax credit drops to zero.
- Expected contributions are higher across the board — the "required contribution percentage" tops out at 9.96% of income (per IRS Rev. Proc. 2025-25).
- People between 100% and 150% of the poverty level no longer get a fully subsidized benchmark plan; a small expected contribution returns.
The practical effect: subsidies are smaller in 2026 than in 2025, and the cliff makes income planning near 400% of FPL matter a lot. That's why this calculator highlights your distance from the cliff.
2026 federal poverty level (FPL) by household size
2026 coverage uses the 2025 HHS poverty guidelines (a coverage year always uses the prior year's guidelines). The table below is for the 48 contiguous states and DC; Alaska and Hawaii use higher figures, which the calculator applies automatically when you pick those states.
| Household size | 100% | 138% | 150% | 200% | 250% | 400% (cliff) |
|---|
100% = Medicaid/subsidy floor · 138% = Medicaid limit in expansion states · 250% = cost-sharing reduction limit · 400% = subsidy cliff.
How this calculator works
We follow the standard HealthCare.gov / IRS method, step by step:
- Income as a percent of FPL = your household MAGI ÷ the poverty level for your household size and state.
- Applicable percentage — your %FPL maps to a required-contribution percentage on the 2026 IRS schedule, interpolated within each income band.
- Expected contribution = MAGI × applicable percentage. This is what you're expected to pay toward the benchmark plan for the year.
- Benchmark premium = the second-lowest-cost Silver plan (SLCSP), age-rated for each enrollee using the federal age curve.
- Premium tax credit = benchmark premium − expected contribution (never below zero). You can apply that credit to any plan.
See the full methodology for the formulas and the prior-year poverty-guideline rule. Benchmark premiums at launch are state-average estimates pending county-level data from the CMS public-use files; your real benchmark may differ, so confirm on the Marketplace.
Frequently asked questions
- What are the ACA income limits for a subsidy in 2026?
- Generally 100%–400% of the federal poverty level, using the 2025 HHS guidelines: about $15,650–$62,600 for one person, or $32,150–$128,600 for a family of four. In 2026 the 400% line is a hard cliff.
- Is the ACA subsidy cliff back in 2026?
- Yes. The enhanced subsidies expired December 31, 2025, so the pre-2021 rules — including the 400% FPL cliff — return for 2026. Above 400% of FPL you get no premium tax credit.
- How is the premium tax credit calculated?
- Your income as a percent of FPL sets a required-contribution percentage. Income × that percentage is your expected contribution. The credit is the benchmark Silver plan's premium minus that contribution, never less than zero.
- What is the benchmark plan (SLCSP)?
- The second-lowest-cost Silver plan available to you. The government uses its premium to size your subsidy, but you can apply the credit to any plan — choosing one cheaper than the benchmark lowers your out-of-pocket premium.
- Which year's income do I use?
- Your best estimate of your income for the coverage year itself (2026 income for 2026 coverage). The Marketplace reconciles your advance credit against your actual income when you file, so an accurate projection matters.
- What if my income is below the poverty level?
- In Medicaid-expansion states, adults up to 138% of FPL usually qualify for Medicaid. In non-expansion states, people below 100% of FPL can fall into a coverage gap. The calculator flags which applies to your state.
- What are cost-sharing reductions?
- Extra savings that cut your deductible and out-of-pocket costs (not your premium), available at or below 250% of FPL if you pick a Silver plan.
Glossary
Plain-English definitions for the terms on this page.
Sources
- IRS Rev. Proc. 2025-25 — 2026 applicable percentage table & required contribution percentage. irs.gov
- HHS / ASPE — 2025 Poverty Guidelines (used for 2026 coverage). aspe.hhs.gov
- CMS — Marketplace plan-landscape & SLCSP public-use files (benchmark premiums). data.healthcare.gov
- CMS — Default Standard Age Curve (premium age rating). cms.gov
- Cross-check: Kaiser Family Foundation Health Insurance Marketplace Calculator. kff.org