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Cost-Sharing Reductions

Choose the Right Health Plan Maryland Health Connection

Cost-Sharing Reductions

Choose the Right Health Plan Maryland Health Connection

Cost-Sharing Reductions

Cost-Sharing Reductions

Cost-Sharing Reductions

The financial help you can to lower out-of-pocket costs such as your copays or deductibles

If you’re eligible for a cost-sharing reduction, you can only access these savings if you enroll in a Silver plan.

Save with cost-sharing reductions in three different ways:

  1. You’ll‌ ‌have‌ ‌a‌ ‌lower‌ ‌deductible.‌ ‌This‌ ‌means‌ ‌the‌ ‌insurance‌ ‌plan‌ ‌starts‌ ‌to‌ ‌pay‌ ‌its‌ ‌share‌ ‌of‌ ‌your‌ ‌medical‌ ‌costs‌ ‌sooner.‌
  2. You’ll‌ ‌have‌ ‌lower‌ ‌copayments‌ ‌or‌ ‌coinsurance.‌ ‌These‌ ‌are‌ ‌the‌ ‌payments‌ ‌you‌ ‌make‌ ‌each‌ ‌time‌ ‌you‌ ‌get‌ ‌care.‌ ‌For‌ ‌example,‌ ‌if‌ ‌you‌ ‌qualify‌ ‌for‌ ‌a‌ ‌cost-sharing‌ ‌reduction‌ ‌and‌ ‌enroll‌ ‌in‌ ‌a‌ ‌Silver‌ ‌plan,‌ ‌you‌ ‌could‌ ‌pay‌ ‌$15‌ ‌instead‌ ‌of‌ ‌$30‌ when‌ ‌you‌ ‌visit‌ ‌the‌ ‌doctor.‌
  3. You’ll‌ ‌have‌ ‌a‌ ‌lower‌ ‌“out-of-pocket‌ ‌maximum.”‌ ‌The‌ ‌cap‌ ‌will‌ ‌be‌ ‌lower‌ ‌on‌ ‌the‌ ‌amount‌ ‌you‌ ‌would‌ ‌have‌ ‌to‌ ‌pay‌ ‌in‌ ‌a‌ ‌year‌ ‌if‌ ‌you‌ ‌used‌ ‌a‌ ‌lot‌ ‌of‌ ‌care,‌ ‌such‌ ‌as‌ ‌a‌ ‌major‌ ‌surgery‌ ‌or‌ ‌accident.‌

Cost-sharing reductions are NOT tax credits. You could qualify for both a tax credit and cost-sharing.

You can find out if you qualify for a cost-sharing reduction based on your household size and income. If you do, you’ll see Silver plans listed first when you start shopping.

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