Individual & Group Health Insurance

Tom, Sara, Robert Robin, or Sean 303-782-0123

Eligibility for subsidies is based on a household's Modified Adjusted Gross Income (MAGI). You need to estimate this income for what you will receive in 2026. For most taxpayers, MAGI is the same as Adjusted Gross Income (AGI) which can be found on Line 4 on a Form 1040EZ, Line 21 on a Form 1040A, or Line 37 on a Form 1040.

Taxpayers who receive non-taxable Social Security benefits, earn income living abroad, or earn non-exempt interest, should add that income back to AGI to calculate MAGI. Note: this is about income before most deductions are taken.

Medicaid eligibility is determined excluding the following types of income: scholarships, awards, or fellowship grants used for education purposes and not for living expenses, and certain American Indian and Alaska Native income derived from distributions, payments, ownership interests, real property usage rights, and student financial assistance.

Next year when you file your 2026 taxes your estimated 2026 MAGI will be compared to your actual 2026 Tax return and any subsidies will be adjusted accordingly (the IRS can give you a bigger refund if you didn't receive the total tax credits you were eligible for, or they will charge you or subtract from your refund any amouint of tax credits that you received but didn't end up qualifying for). Better to overestimate your income so you don't have to pay subsidies back! If you are confused on this please seek tax advice from a professional.