When you fill out a health insurance application and use some tools on this website, you’ll need to estimate your expected income for 2016. Two important things to know:
Step 1. Start with your household’s adjusted gross income (AGI) from your most recent federal income tax return.
Don’t have recent AGI? See another way to estimate your income.
Step 2. Add the following kinds of income, if you have any, to your AGI:
Don’t include Supplemental Security Income (SSI).
Consider things like these for all members of your household:
Now you have an estimate of your expected income for 2016. Use this figure when asked to estimate your expected income for 2016.
It’s hard to predict your income if you’re unemployed, self-employed, on commission, or on a work schedule that changes regularly.
If your income for 2016 is hard to predict, base your estimate on your past experience, recent trends, what you know about possible changes at your workplace, and similar information. If the job is new to you, ask people in the same field or in the same company about their experiences.
Just do your best to make a realistic estimate for 2016 — and be prepared to update it when it changes.
Learn more about how to estimate your expected income if you’re:
After finding out your final income when you file your 2016 tax return, you’ll compare (or "reconcile") any difference between the premium tax credit you used to reduce your monthly costs during the year and what you actually qualify for based on your final 2016 income.
You can reduce the chance of a big tax bill (or big refund of money you could have used all year) by updating your application as soon as your income changes.
IMPORTANT Update your Marketplace application as soon as possible when your income or household members change during the year. Learn how to update your information during the year.
If the Marketplace tells you to provide pay stubs, self-employment records, or other information to verify your income, follow these directions to upload documents.
The Heath Insurance Marketplace uses an income figure called Modified Adjusted Gross Income (MAGI) to determine the programs and savings you qualify for. For most people, it’s identical or very close to Adjusted Gross Income (AGI). MAGI is not a line on your federal tax return.
Start with “federal taxable wages” for each income earner in your household.
Marketplace savings are based on income for all household members, not just the ones who need insurance.
Report income and household changes on your Marketplace insurance application as soon as possible. If you don’t, you could wind up with the wrong amount of savings or even the wrong insurance plan. Learn how to update your income during the year.
There are some differences, depending on your state and other factors. The Marketplace application may ask you specific questions to see if you’re eligible for Medicaid. If it looks like anyone in your household qualifies for Medicaid or the Children’s Health Insurance Program (CHIP), we’ll send your application to your state agency. They may ask you for more information. If it turns out you’re eligible, they’ll help you enroll.