These changes — like higher or lower income, adding or losing household members, or getting offers of other health coverage — may affect the coverage or savings you’re eligible for. After you finish applying or enrolling, you may be asked to submit documents to confirm your income.

22.8 million Americans became newly insured and 5.9 million lost coverage, for a net of 16.9 million newly insured Americans. The total number of uninsured Americans dropped from 42.7 million to 25.8 million. Much of this increase was driven by gains in employer-sponsored coverage.

In exchange for healthcare coverage, the insurer charges you a monthly premium. According to eHealth’s recent study of ACA plans, in 2020 the national average health insurance premium for an ACA plan is $456 for an individual and $1,152 for a family.

The so-called “family glitch” stems from a 2013 interpretation by the Treasury Department and Internal Revenue Service (IRS) that an employer’s offer of coverage is “affordable” based on the cost of employee-only (rather than family) coverage.

The family glitch is estimated to affect 5.1 million people. However, only an estimated 451,000 of these individuals are currently uninsured—or less than 9 percent of the people who fall into the family glitch.

5.1 million people

Working Around the Family Glitch

1. Enroll Your Kids in CHIP.
2. Use the Health Insurance Marketplace.
3. Get a Short-Term Health Insurance Plan.
4. Look for a New Job.

The “Family Glitch” is a hole in the Affordable Care Act that affects low to moderate income families to not qualify for premium assistance on the health exchange. If your plan at work costs 8% or more of your household income it may give you an exemption to avoid the tax penalty if you go without insurance.

Under the ACA, employers with 50 or more full-time equivalent employees are required to offer coverage to their employees and to their employees’ children, but not to spouses – although it’s still relatively rare for companies to exclude spouses.

Between 50 and 129 million non-elderly Americans have at least one pre-existing condition that would threaten their access to health care and health insurance without the protections of the Affordable Care Act. This represents 19 to 50 percent of non-elderly Americans.

If you’re offered health coverage by your employer, you can buy insurance through the Marketplace instead. You’ll be eligible for savings only if the insurance your employer offers isn’t considered affordable or doesn’t meet certain minimum standards. Learn how to find out if your job-based offer meets these standards.

To qualify for Obamacare subsidies you must meet the following criteria: You are currently living in the United States. You are a US citizen or legal resident. You are not currently incarcerated. Your income is no more than 400% of the federal poverty level.

If you are buying an ACA plan as non-subsidized health insurance for a family of 4, you can expect to pay about $25,000 for the year in premiums and deductibles. That breaks down to an average of $17,244 in annual premium cost for health insurance for families of 4 and $7,767 in deductible expenses.