Help Paying Marketplace Premiums: Defining Income and Household

My 24-year-old son, who is working, lives near me and my spouse. My spouse and I are eligible for a silver plan with a 73 percent actuarial value, but my son is eligible for a plan with an 87 percent actuarial value. What happens if we all enroll in one family policy?

If you all enroll in the same plan, you would only be eligible for a plan with a 73 percent actuarial value; that is the lowest-value plan for which all of you would qualify in this situation.

While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.