Some qualifying Marketplace consumers can receive additional savings that reduce certain out-of-pocket healthcare costs - but these savings are tied to eligible Silver plan enrollment.
Unlike a Premium Tax Credit, which can reduce the monthly premium, a Cost-Sharing Reduction can reduce certain out-of-pocket costs for qualifying consumers.
Qualifying Silver coverage may have a lower deductible than the standard version of the plan.
Applicable consumer cost sharing for covered services may be reduced.
Qualifying CSR coverage can reduce the applicable annual out-of-pocket limit.
Cost-Sharing Reductions are available only to qualifying consumers who choose an eligible Silver Marketplace plan. This is why comparing plans only by monthly premium can cause a consumer to overlook potentially valuable cost-sharing assistance.
Can reduce the monthly premium for eligible Marketplace consumers.
Learn About Premium Tax Credits →Can reduce certain eligible out-of-pocket costs when qualifying consumers use covered healthcare through an eligible Silver plan.
Some consumers may qualify for both forms of assistance under applicable Marketplace rules.
If you may qualify for Cost-Sharing Reductions, the cost structure of an eligible Silver plan can deserve particular attention before comparing it with other metal categories.
BenefitRoute can organize the household and coverage factors that may be relevant before you continue to the appropriate Marketplace or licensed assistance resource.
Explore My ACA Savings Opportunities →No guaranteed savings • Official eligibility determined by the Marketplace