? How Subsidies Are Calculated
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If obamacare premiums rise 25% how much will subsidies need to rise?

If Obamacare premiums rise by 25%, subsidies would generally need to rise by a similar amount to maintain affordability for enrollees—unless Congress adjusts the subsidy formula.

Here’s how it works:

🧮 How Subsidies Are Calculated

Obamacare subsidies, known as Premium Tax Credits (PTCs), are designed to cap how much a household pays for insurance based on income. The government pays the difference between that cap and the actual premium cost of a benchmark plan (usually a Silver plan).

If premiums rise 25%, the subsidy amount must also rise 25% to keep the consumer’s out-of-pocket cost the same.

For example, if a benchmark plan costs $600/month and the household is expected to pay …

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