Health Insurance Calculator — ACA Marketplace Estimate
Monthly Premium (before subsidy)
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Estimated Monthly Subsidy
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Your Monthly Cost
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Annual Cost
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Understanding Health Insurance Marketplace Costs
ACA marketplace premiums depend on age, location, tobacco use, and plan tier. Plans are categorized by actuarial value: Bronze (60%), Silver (70%), Gold (80%), and Platinum (90%), indicating the percentage of average healthcare costs the plan covers.
Premium tax credits (subsidies) are available for households earning up to 400% of the Federal Poverty Level. The subsidy ensures you do not pay more than a set percentage of your income for the benchmark Silver plan. Lower-income enrollees may also qualify for cost-sharing reductions.
This calculator provides rough estimates. Actual premiums vary significantly by state, county, and available insurers. Visit healthcare.gov during open enrollment for exact quotes. Consider total costs including premiums, deductibles, copays, and maximum out-of-pocket when comparing plans.
Frequently Asked Questions
What is the difference between Bronze, Silver, Gold, and Platinum plans?
The metal tiers reflect how costs are shared: Bronze has lowest premiums but highest out-of-pocket costs (60/40 split). Platinum has highest premiums but lowest out-of-pocket costs (90/10 split). Silver plans may offer extra cost-sharing reductions for lower-income enrollees.
How do premium subsidies work?
If your income is 100-400% of the Federal Poverty Level, you may qualify for Premium Tax Credits that lower your monthly payment. The subsidy is calculated as the difference between the benchmark Silver plan premium and your expected contribution based on income.
When can I enroll?
Open Enrollment runs November through January (dates vary by year). Outside of Open Enrollment, you can only enroll with a Special Enrollment Period triggered by qualifying life events like losing other coverage, marriage, or having a baby.