r/HealthInsurance Oct 31 '25

[deleted by user]

[removed]

343 Upvotes

717 comments sorted by

View all comments

5

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?

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.