Notice: The application is available daily from 5 a.m. to 1 a.m.
Notice: The application is available daily from 5 a.m. to 1 a.m.
When you apply for financial help, you’ll need to estimate your income for the year you want health coverage to see if you qualify for lower costs.
Calculate your income with a tax return
If you filed a tax return last year and have not had any significant changes in your household size or income this year, use this form.
Calculate your income without a tax return
Use this form if any of these apply to you:
You also may subtract these deductions from your household income, if they are not already subtracted from the amount you list as income.
Limits on the deductions you may claim:
Deduction Type | Limit |
---|---|
Alimony paid | Amount deducted should not exceed total income. Divorce decrees or separation agreements finalized or modified after Dec. 31, 2018 are NOT deductible. |
Certain business expenses of reservists, performing artists, and fee-basis government officials | Amount deducted should not exceed total income |
Deductible part of self-employment tax | Amount deducted should not exceed 7.65% of annual income |
Domestic Production activities deduction | Amount deducted should not exceed 9% of annual income |
Student loan interest paid | Generally, the amount an applicant may deduct is the lesser of $2,500 or the amount of interest the applicant actually paid. See 1098-E Student loan interest statement. |
Health savings account deduction |
|
Moving expenses if the applicant is moving to live much closer to their job | Amount deducted should not exceed total income. For tax years 2018-2025, moving expenses are deductible ONLY for active duty members of military. |
Penalty on early withdrawal of savings | Amount deducted should not exceed total income |
Contributions to an individual retirement account if the applicant doesn’t have a retirement account through a job | |
Self-employed health insurance deduction | Amount deducted should not exceed total income |
Tuition costs for school if the applicant pays for the costs out-of-pocket and deducts them on their tax return on line 34 | Amount deducted should not exceed total income |