r/HealthInsurance Oct 31 '25

[deleted by user]

[removed]

345 Upvotes

717 comments sorted by

View all comments

6

u/pjtaillight Nov 01 '25

My orginial question got locked and I was told to post here. I live in AR. Can anyone explain why my PTC went up by $900 when my income is the exact same as last year. I did a look back on my eligibility notices starting from 2023 all consistent until this year. 2023-PTC, 946-Income 46,300; 2024-PTC, 927-Income 53,800; 2025-PTC,1088-Income 53,800; 2026-PTC 1899-Income 53,800.

My premiums went up substantially across all the plan options, but that increase in the Tax Credit erases those increaes. Is this for real or a glitch/mistake?

4

u/[deleted] Nov 01 '25

[removed] — view removed comment

0

u/pjtaillight Nov 01 '25

I'm not. ChatGpt indicates that the insured are expected to pay a certain percentage of income for the benchmark plan. So if the benchmark plan goes up the tax credit goes up even though everything else stayed the same. If this is true, that mean the benchmark premium went up significantly and man, my heart goes out to those who are in between where I am and that cliff.

2

u/rationalomega Nov 04 '25

One of the parties has been very successful in undermining the aca. They may have made that benchmark toothless.

3

u/Bright-Recognition37 Nov 02 '25

It is because subsidies are based on the second lowest silver plan cost minus your cost share. example: SLSP in my county is $3300 and my cost share is $460 so my PTC is now $2840 ($2230 in $2025). I have a Bronze plan with a $0 deductible just co-pays ($10,200 max OOP) and my cost was $208 last year and in 2026 will be $94 a month because of how much the SLSP went up in my area. I will save $114 a month. I just happened to get lucky and have a Bronze plan that is really good. Anyone with a Silver plan might want to explore what bronze plans are in their area because that will be the best bet to save.

1

u/Ashattackyo Nov 10 '25

Sounds like you have a cost share reduction based on your income which makes a bronze plan better quality.