Tools · 2026 plan year

Federal poverty level (FPL) percentage calculator

Almost every eligibility threshold in the Marketplace is expressed as a percentage of the federal poverty level. This works out yours, and shows which programs and cost-sharing bands that percentage puts you near.

Your household
2025 poverty guidelines — HHS Poverty Guidelines (48 contiguous states & DC)
Household size 100% FPL 150% 250% 400%

—of the federal poverty level

  • Poverty guideline for your household—
  • Your income—
  • 100% of FPL—
  • 250% of FPL—
  • 400% of FPL—

What this assumes

  • Uses the HHS poverty guidelines for the 48 contiguous states and DC. Alaska and Hawaii use different figures.
  • Marketplace eligibility for a coverage year uses the guidelines published the previous January.
  • Household size means everyone on your tax return, not everyone living in your home.
  • Income means modified adjusted gross income, which differs from take-home pay.
  • Utah has not expanded Medicaid to the full ACA threshold in the way some states have — eligibility rules differ; confirm your own situation.

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.

Book a call 435-292-8777Speak with a licensed insurance agent · TTY 711

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

Which year’s guidelines apply to my coverage?

Marketplace eligibility for a coverage year uses the guidelines published the previous January. Coverage year 2026 therefore uses the 2025 figures.

Quoting the wrong year is the most common mistake in an FPL calculation found online.

Who counts as part of my household?

Everyone on your tax return — you, your spouse if you file jointly, and your tax dependents. Not everyone living under your roof.

A housemate, or an adult child who files their own return, is a separate household even at the same address.

Do these figures apply everywhere in the United States?

These are the guidelines for the 48 contiguous states and the District of Columbia. Alaska and Hawaii use higher figures.

Utah uses the contiguous-states numbers shown here.

What do the percentage bands actually unlock?

They set which programs and savings you are near: cost-sharing reductions on a Silver plan below roughly 250%, premium tax credits on a sliding scale above that, and Medicaid eligibility at the lower end.

Utah has not expanded Medicaid to the full ACA threshold in the way some states have, so the lower end is worth confirming rather than assuming.

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 FPL % calculator?

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 FPL % calculator?

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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