CHA News Article

Interactive Map Compares Premiums, Tax Credits Under ACA and BCRA

The Kaiser Family Foundation has released an interactive map comparing county-level projections of premiums and tax credits for marketplace enrollees under the Affordable Care Act (ACA) in 2020 with estimates based on the Better Care Reconciliation Act (BCRA), as released June 22. The map includes premium and tax credit estimates by county for current ACA marketplace enrollees at age 27, 40 and 60 with annual incomes ranging from $20,000 to $100,000, which is just above the cutoff for tax credits under the BCRA. The map includes estimates for premiums, tax credits, and premiums after tax credits for bronze and silver plans in each county in 2020.

Under the ACA, people with incomes from 100 to 400 percent of the poverty level are eligible for tax credits. Premium caps in 2020 will vary from 2.4 percent of income for a household at the poverty level to 10.2 percent at 400 percent of the poverty level, according to Kaiser projections; the caps do not vary by age. The benchmark plan under the ACA is a silver plan with an actuarial value of 70 percent, meaning enrollees pay for an average of 30 percent of their health care expenses through cost-sharing. However, the map does not include cost-sharing assistance under the ACA that lowers deductibles and copayments for low-income marketplace enrollees.

Under the BCRA, people with incomes up to 350 percent of the poverty level are eligible for tax credits, including people with incomes below poverty, and premium caps vary by age ranging from 2.4 percent of income for a household below the poverty level to 17.4 percent of income for a 60 year old at 350 percent of poverty. The benchmark plan under the Senate bill is a plan with an actuarial value of 58 percent, meaning enrollees pay for an average of 42 percent of their health care expenses through cost-sharing. KFF previously released a map comparing the ACA to the American Health Care Act passed through the House.

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