Tools · 2026 plan year

ACA subsidy & premium tax credit estimator

Enter your household size, your estimated income for the coverage year, and roughly what a benchmark Silver plan costs in your county. This estimates the advance premium tax credit you could receive and what you would pay after it is applied.

Your household
The benchmark plan

—estimated tax credit per month

  • Income as % of FPL—
  • Your expected share of income—
  • Benchmark plan, full price / mo—
  • What you would pay / mo—
  • Estimated saving per year—

What this assumes

  • Uses the current Marketplace affordability schedule, interpolated within each income band exactly as the Marketplace does.
  • Based on the HHS poverty guidelines for the 48 contiguous states and DC.
  • The benchmark plan is the second-cheapest Silver plan in your county — the figure the credit is calculated from.
  • Your actual credit depends on the real benchmark price for your county, the ages of everyone covered, and tobacco use.
  • Credits are reconciled against your actual income on your tax return.

Talk it through with Sarah

An estimate is a starting point. Sarah can look up the real figures for your county, check your doctors and prescriptions, and tell you what the numbers actually mean for you.

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Or see real plans for your ZIP code:

This is an estimate, not a quote. Estimates only. Figures on this page use published 2026 plan-year values and the details you enter. They are not a quote, an offer of coverage, or a determination of eligibility. Your final premium and any advance premium tax credit are confirmed at enrollment on HealthCare.gov or with the carrier. CUPS Insurance is not affiliated with, endorsed by, or operating on behalf of HealthCare.gov, the Health Insurance Marketplace, or any federal or state government agency. Plan availability, premiums and advance premium tax credits are set by the carriers and the Marketplace.

FAQ

Common questions

What is a benchmark plan, and why does it matter?

It is the second-cheapest Silver plan in your county. Your premium tax credit is calculated from its price, not from the price of the plan you actually choose.

That is why two households with the same income in different counties get different credits — the credit follows local prices.

What income should I enter?

Your estimated modified adjusted gross income for the coverage year, for everyone on your tax return. It is not the same as take-home pay.

Estimating is genuinely hard for self-employed and variable-income households; you can update the figure with the Marketplace during the year as things change.

What happens if my actual income ends up different?

The credit is reconciled on your tax return. Estimate too low and you repay part of it; too high and you paid more each month than you needed to.

Updating mid-year is far better than finding out in April.

Should I buy Silver even if Bronze is cheaper?

Often yes, below roughly 250% of the federal poverty level. Cost-sharing reductions lower your deductible and copays, but only on a Silver plan — buying Bronze gives that benefit away.

The saving on the Bronze premium is regularly smaller than the value of the cost-sharing you lose.

Is this a quote?

No. It is an estimate computed from published plan-year figures and the details you type in. It is not an offer of coverage or a determination of eligibility.

Your final premium and eligibility are confirmed at enrollment on HealthCare.gov or with the carrier.

Where do these figures come from?

From the HHS poverty guidelines (2025) and the Marketplace affordability schedule for plan year 2026. They are plan-year stamped and reviewed each January, when the federal government publishes the new ones.

If a figure here does not match what you see elsewhere, check which plan year the other source is quoting first.

What does it cost to work with CUPS Insurance on ACA subsidy estimator?

Nothing. Carriers pay a commission when a plan is issued, and that commission is already built into the plan price whether you use an agent or not.

Buying the same plan on your own does not make it cheaper — it just means nobody checked your doctors and prescriptions first, and nobody picks up the phone in March when something goes wrong.

Does CUPS Insurance offer every plan available for ACA subsidy estimator?

No, and no agency does. We are independent, which means we compare across the carriers listed on this site rather than representing a single one — but that is not the same as offering every plan on the market.

We do not offer every plan available in your area. Currently we represent 8 organizations which offer 72 products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

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