How do cost-sharing subsidies differ from premium subsidies?

Both premium subsidies and cost-sharing subsidies (also known as cost-sharing reductions or CSRs) are only available to those who meet specific financial requirements. Premium subsidies are available to anyone with a household income of at most 400% of the poverty level, while cost-sharing subsidies are available to those with household income of at most 250% of the poverty level. Thus, anyone who qualifies for a cost-sharing subsidy will also qualify for a premium subsidy, but it is possible to qualify for a premium subsidy and not a cost-sharing one. Those whose incomes are low enough to be eligible for Medicaid are not eligible to receive either variety of subsidy.

There are also differences in the types of plans that these subsidies can be applied to. Premium subsidies can be used on plans of any metal level. Cost-sharing subsidies, on the other hand, are only available on silver plans. It should also be noted that both varieties of subsidies can only be used on plans purchased through the exchange.

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Who isn’t eligible for premium subsidies?

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