Eligibility Thresholds - 2015

Modified Adjusted Gross Income (MAGI) relative to the 2014 Federal Poverty Level (FPL) is used to determine eligibility for 2015 Advanced Premium Tax Credits (APTC), Vermont Premium Reductions, and cost-sharing reductions (CSR). MAGI relative to 2015 FPL is used to determine eligibility for 2015 Medicaid and Dr. Dynasaur.

Basic Tables and Instructions

 

 Income Thresholds for APTC/VPA/CSR - 2015 (using 2014 FPL)

2014 FPL Chart for 2015 APTC and CSR

 

Income Thresholds for Medicaid and Dr. Dynasaur - 2015

Income Thresholds for Medicaid and Dr. Dynasaur

 

Click here to see FPL charts for 2014 health plans. 

Steps to Determine Applicable Percentage for APTC/VPA 2015

Note: Round to the nearest one-hundredth of a percent (two decimal places out). 

To find the 2015 Applicable Percentage with Vermont Premium Assistance

Step 1: Use 2014 FPL to take the Applicable FPL for a given household
Ex: $50,085 for a tax household of four is 210% of 2014 FPL (100% = $23,850 for household of four)

Step 2: Take the Applicable FPL and subtract the Initial FPL (from chart below)
Ex: 210-200=10

Step 3: Then, find the difference between the Initial FPL and the Final FPL for the range that the applicable FPL falls into:
Ex: 250-200=50

Step 4: Take the total from Step 2 and divide it by the total in Step 3.
Ex:  10/50= .20

Step 5: Find the difference between the Vermont and Federal Initial Percentage and Vermont and Federal Final Percentage in the applicable range.
Ex: 6.60 -4.84=1.76

Step 6: Multiply the amount in Step 4 by the amount in Step 5.
Ex: .20 x 1.76 = .352

Step 7: Add the total of step 7 to the Vermont and Federal Initial Percentage in the Applicable FPL’s range.
Ex: .352 + 4.84 = 5.19%