ACA / Marketplace Information
Federal Poverty Levels for 2023 Health Coverage
This is an outline of the Federal Poverty Level (FPL) income ranges that will qualify for financial assistance for enrollment in 2023 coverage On Marketplace. Updated for rules under the American Rescue Plan.
|Household Size||100% FPL||150% FPL||200% FPL||250% FPL||400% FPL|
|Each additonal person||$4,720||$7,080||$9,440||$11,800||$18,880|
|Each additonal person|100% FPL $13,590 $18,310 $23,030 $27,750 $4,720 150% FPL $20,385 $27,465 $34,545 $41,625 $7,080 200% FPL $27,180 $36,620 $46,060 $55,500 $9,440 250% FPL $33,975 $45,775 $57,575 $69,375 $11,800 400% FPL $54,360 $73,240 $92,120 $111,000 $18,880
- Florida did not expand Medicaid. Therefore, tax credits may be available as listed above for people with incomes above 100% of FPL
- Household incomes below 100% FPL do not qualify for federal financial assistance to obtain health insurance coverage1
- Household incomes above 100% FPL may qualify for Advance Premium Tax Credits to offset premium costs
- Household incomes between 100 – 250% FPL may also qualify for Silver with Cost-Sharing Reductions (lower out-of-pocket costs)
- Access to Silver Cost Share Reduction plans is not affected by federal decisions to fund the Cost Share Reduction program
- Applicant cannot be enrolled in or eligible for government sponsored Minimum Essential Coverage (e.g. certain Medicaid or Medicare)
- Applicants eligible for group plans through their employer, or through a household family member who is offered employer coverage, may still qualify for a financial assistance on the
- Marketplace if the group plan is not affordable (the employee’s con
For example: As of Jan. 1, 2023, a fix for the “family glitch” will establish separate affordability tests for the employee (based on the cost of self-only coverage) and dependents (based on the cost of family coverage). These tests will use the same percentage of household income (9.12% in 2023), so it is possible that coverage could be considered affordable for the employee but not for dependents. In that case, the dependents in the same tax household would potentially be eligible for a premium tax credit in the Marketplace, but the employee would not
CMS has announced a Marketplace Special Enrollment Period (SEP) for qualified individuals and their families who are losing Medicaid coverage due to Medicaid unwinding. This temporary SEP, referred to as the Unwinding SEP, will allow individuals and families in Federally-facilitated Marketplace (FFM) states to enroll in Marketplace coverage.