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If I cannot afford my employer coverage, can I apply for premium subsidies through individual or family ACA plans?

Use our 2026 Employer Health Plan Affordability Calculator to see if you might be eligible for ACA premium subsidies – and your potential savings if you qualify.

Employer Health Plan Affordability Calculator

$75,000

For most taxpayers, your MAGI is close to AGI (Line 11 of your Form 1040).

$0$250,000$500,000

Includes your spouse, and children claimed as dependents on your taxes. To calculate this value subtract the cost of employee coverage from the cost of family coverage.

Understanding Employer Coverage Affordability

Under the Affordable Care Act, employer-sponsored health insurance is considered "affordable" if the employee-only premium costs no more than 9.02% of your household income (2026 threshold).

If your employer coverage is deemed unaffordable, you may be eligible to purchase a Marketplace plan and receive premium tax credits to help lower your costs.