Obamacare Income Limits in Florida: Do You Qualify for Help?

In Florida, Marketplace premium tax credits generally go to households with expected income between 100% and 400% of the federal poverty level. For coverage in the coming plan year that is about $15,960 to $63,840 for one person and $33,000 to $132,000 for a family of four. Extra savings on Silver plans go up to 250%. Your exact help depends on your income, household, age and ZIP code.

Key takeaways
  • Below 100% of the poverty level, many Florida adults fall into the coverage gap, because Florida didn’t expand Medicaid.
  • Above 400%, there is generally no tax credit, but you can still buy a plan.
  • Use your best estimate of next year’s income, and report changes, because there’s no cap on paying back extra credit.

Florida Obamacare income ranges by household size

Household size100% (lowest income for tax credits)150%250% (top of Silver extra savings)400% (top of tax credits)
1$15,960$23,940$39,900$63,840
2$21,640$32,460$54,100$86,560
3$27,320$40,980$68,300$109,280
4$33,000$49,500$82,500$132,000
5$38,680$58,020$96,700$154,720
6$44,360$66,540$110,900$177,440

Yearly household income. Based on the HHS poverty guidelines published in 2026 for the 48 contiguous states and DC, which the Marketplace uses for coverage that starts in 2027. We update this table each Open Enrollment.

Bigger household, or want every percentage? See our full federal poverty level chart.

How to read the table

  • 100% to 150%: the lowest required contribution toward a benchmark Silver plan, and the biggest Silver extra savings.
  • 150% to 250%: tax credits plus some Silver extra savings (lower deductibles and copays). See cost-sharing reductions.
  • 250% to 400%: tax credits only. You can use them on any metal level.
  • Over 400%: generally no tax credit. You can still enroll at full price, and every Bronze plan can now be paired with a Health Savings Account.

How the credit itself is calculated: how Marketplace tax credits work in Florida and how much Obamacare costs in Florida.

Below 100%: Florida’s coverage gap

Florida did not expand Medicaid. Many adults without children who earn less than 100% of the poverty level don’t qualify for Florida Medicaid and also can’t get Marketplace tax credits. Some groups have more options: children (through Florida Medicaid and Florida KidCare), pregnant women, parents with very low income, and some people with disabilities or Medicare. The Department of Children and Families (DCF) decides Medicaid eligibility through MyACCESS. We help you fill out that application for free, but we are not DCF. Read more: Florida’s Medicaid coverage gap and MyACCESS help.

Lawfully present immigrants with income under 100% used to be able to get tax credits when their status kept them out of Medicaid. That rule has ended, so check your situation with us before you apply.

What counts as income

  • Start with adjusted gross income from your federal tax return.
  • Add untaxed Social Security (including SSDI), tax-exempt interest and excluded foreign income.
  • Don’t count SSI, child support you receive, gifts or most loans.
  • Include a dependent’s income only if they have to file a tax return.
  • Your household is your tax household: you, your spouse if you file jointly, and the dependents you claim.

Self-employed, 1099 or gig work? Use your expected net self-employment income (after business expenses). Examples: ACA Open Enrollment for the self-employed and how gig workers estimate income.

When your income changes

Your savings are based on what you expect to earn next year, not last year. If your income goes up, report it right away: extra tax credit is repaid at tax time, and there is no longer a cap on that repayment. If it goes down, you may qualify for more. How to report: Marketplace income changes in Florida.

Immigration status and savings

Starting with coverage that begins January 1 of the coming plan year, only citizens and nationals, green card holders (lawful permanent residents), Cuban/Haitian entrants and COFA migrants can get tax credits and Silver extra savings. Many other lawfully present immigrants can still buy a Marketplace plan but may pay full price. Bring your documents and we’ll review them with you. En español: documentos para el Obamacare en Florida.

Open Enrollment dates

Florida uses HealthCare.gov. Open Enrollment runs November 1 to January 15; enroll by December 15 for coverage that starts January 1. Outside those dates you need a Special Enrollment Period. More on dates: Florida Open Enrollment help. Overview: Obamacare in Florida.

Who helps you

  • Areas served: All of Florida by phone and video; in person in Orlando, Kissimmee and Central Florida by appointment. Also licensed in TX, TN, MI, NY and NJ.
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Obamacare income limits in Florida: FAQ

What if my income changes during the year?

Report it to the Marketplace as soon as you can. Your tax credit is based on your estimate for the whole year. If you end up earning more, you repay the extra credit when you file taxes, and there is no longer a cap on that repayment. If you earn less, you may get more help.

What counts as income for Obamacare?

The Marketplace uses modified adjusted gross income: your adjusted gross income from your tax return plus untaxed Social Security, tax-exempt interest and excluded foreign income. Social Security disability (SSDI) counts; SSI does not. Count a dependent’s income only if that person has to file a tax return.

What if I make less than 100% of the poverty level in Florida?

Florida did not expand Medicaid, so many adults below 100% of the poverty level get neither Medicaid nor Marketplace tax credits. This is called the coverage gap. Children, pregnant women, parents with very low income and some people with disabilities may qualify for Florida Medicaid instead. We can help you check both.

Is there an income limit for buying an Obamacare plan?

No. Anyone who qualifies to use the Marketplace can buy a plan at any income. The limits on this page are for the premium tax credit and Silver extra savings. Above 400% of the poverty level, you can still enroll, but at full price.

Do I need to file taxes to get a premium tax credit?

Yes. To keep getting tax credits you must file a federal tax return and reconcile the credit on Form 8962. Married couples generally must file jointly, with limited exceptions for survivors of domestic abuse or spousal abandonment.

See what you may qualify for with your ZIP code

Questions about your situation? A licensed agent can review your options with you — free to you. Call (321) 315-0054 or message us on WhatsApp.

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