When the Patient Protection and Affordable Care Act (AKA Obamacare) is fully enforced on individuals and families next year, a middle-aged, middle-class couple with three children could be hit with a $9,355 hike in their annual health-insurance premiums if their annual household income happens to increase by just $1.
Under ACA, all Americans are required to secure health insurance. Those who do not get it through their employer can buy it through government-run health-insurance exchanges, which the law requires to be set up in every state. People buying their Obamacare-mandated health coverage through these exchanges will be eligible for federal subsidies in the form of a refundable tax credit—as long as their adjusted gross household income is between 100 percent and 400 percent of the Federal Poverty Level (FPL).
People whose household income is too small to qualify for the subsidy will be put on Medicaid. People whose household income exceeds 400 percent of the FPL will get no subsidy at all.
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