Skip to main content

Why is my client not eligible for the ACA premium Tax credit?

Ebony Estrada avatar
Written by Ebony Estrada
Updated over 5 months ago

Premium Tax Credit – Quick Eligibility Check

To qualify, the client must:

  • Be enrolled in a Marketplace plan for at least 1 month

  • Not have access to affordable employer coverage or government programs (Medicare, Medicaid, CHIP, TRICARE)

  • Have premiums paid (either by the client, someone else, or via advance credit) by the tax return due date

  • Have household income between 100% – 400% of the Federal Poverty Line (FPL)

    • Exception: For 2021, unemployment benefits may automatically qualify them

  • Not file as Married Filing Separately, unless exempt due to domestic abuse or spousal abandonment.

  • Not be claimed as a dependent

  • Have purchased coverage through the Marketplace (no credit for off-Marketplace plans)

Note: Use Form 8962 to claim the credit and keep income and coverage documentation.

Did this answer your question?