QUESTION

I can’t afford to pay much for deductibles and co-pays. Is there help for me in the marketplace for cost-sharing?

Individuals with no coverage | Eligibility for Premium Tax Credits and Cost-Sharing Reductions
ANSWER

Yes. If your income is between 100 percent and 250 percent of the federal poverty level, you can also qualify for cost-sharing reductions. These will reduce the deductibles, co-pays, and other cost-sharing that would otherwise apply to covered services.

The cost-sharing reductions will be available through modified versions of silver plans that are offered on the marketplace. These plans will have lower deductibles, co-pays, coinsurance and out-of-pocket limits compared to regular silver plans. Once the marketplace determines you are eligible for cost-sharing reductions, you will be able to select one of these modified silver plans, based on your income level. (45 C.F.R. § 155.305; 42 U.S.C. § 18071).

Individuals with no coverage
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