If the cost of the SLCS plan in a customer's area increases but the household income remains the same, what will happen to the amount of APTC?

Prepare for the PY 2025 Pennie Individual Marketplace Training with engaging multiple choice questions and detailed explanations. Equip yourself with the knowledge needed to excel on your first attempt!

When the cost of the Silver Level Cost-Sharing Reduction (SLCS) plan in a customer's area increases while their household income remains the same, the amount of Advance Premium Tax Credit (APTC) that the customer is eligible for will also increase. This is because APTC is designed to ensure that consumers can afford their health insurance premiums based on their income and the cost of the premiums in their local market.

As the premium for the SLCS plan rises, the APTC adjusts in response to maintain affordability for the individual or family. The APTC is structured to cap the portion of income that must be allocated toward premium payments, so if premiums increase, the APTC will increase to compensate for that rise, ensuring that the insurance remains affordable given the unchanged income level.

This adjustment helps to stabilize the insurance market by making sure that individuals and families receiving subsidies can continue to access coverage without facing extreme financial burdens due to a rise in insurance costs. Therefore, an increase in the cost of the SLCS plan leads to an increase in the amount of APTC allocated to the recipient.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy