BackInTex wrote: Serious question on the subsidies. Aren't they are supposed to be in the form of tax credits? How do you get the tax credits before you file your tax return? Or are the subsidies applied in real time (i.e., you sign up today for a $400/month plan with $200/month subsidy and never pay the $400, just start out month 1 paying $200)? How is the determination of subsidy done? Through the website, tied to your tax return? What if you didn't file? Really, anyone know how that will work?
The amount of the tax credit for 2014 will depend on 2013 income, the size of your family, and the cost of the second lowest cost silver (70%) plan available through the exchange where you live. When you apply and give them your information, the website (hopefully) calculates the subsidy as a fixed dollar amount per month. That amount is then deducted from the cost of whatever medical plan you purchase. So, if you choose a plan that costs $1,000 a month and you qualify for a $400 a month subsidy, you pay the insurer $600 and the insurer gets reimbursement from the government for the other $400.
At the end of the year, your actual income is compared against what you estimated when you applied and you either owe the remainder or get the rest back from the IRS the same as any refund. Also, if your family size changes in the year, your credit will change as well (death, divorce, additional child) and that's taken into effect when calculating the difference at the end of the year.
In addition to premium subsidies, people whose income is less than 400% of the poverty level may qualify for smaller out-of-pocket maximums ($6250 for an individual or $12500 for a family) during the year.