FAQs and Helpful Tips
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Individual ACA Market Basics
Source: Nebraska Department of Insurance
What is an Advance Premium Tax Credit (APTC)?
A tax credit you can take in advance to lower your monthly health insurance payment.
-APTC is based on your estimated expected income for the year.
-This matters because your payment is a percentage of what you earn–not a percentage of the total premium price.
-APTC is based on the premium for the second-lowest-cost silver plan, not the plan you select.
What are Cost Sharing Reductions (CSR)?
CSRs provide lower dollar amounts for copayments or coinsurance, paid at the time of service for things like doctor visits or prescription refills, or deductibles, which must be paid before the plan begins paying toward the service.
For people who earn between 138% and 250% of FPL and purchase a Silver plan, the ACA gives them a discount on cost sharing.