What Funding Option Is Right for You?

Deciding Between a Health Reimbursement Arrangement (HRA) and a Federal Subsidy

Depending on your situation, you may be able to lower your healthcare costs with either an HRA, if available, or a federal subsidy, such as a Premium Tax Credit (PTC) or Cost-Sharing Reduction (CSR). A licensed benefit advisor can assist with these decisions and guide you during your enrollment call. 

Funding Types

Qualifying for a PTC or CSR

These are the annual household income levels required to qualify for a PTC or CSR in 2026. The chart below is an average for the 48 contiguous United States. Qualifying income levels differ between states; contact Via Benefits for your state’s specific ranges.

  • Between $15,650 and $62,600 for individuals

  • Between $21,150 and $84,600 for a family of two

  • Between $32,150 and $128,600 for a family of four

If your income is:

  • More than the listed incomes, you will probably not qualify for a PTC or CSR.

  • Within the listed income ranges, you may qualify for a PTC or CSR.

  • Less than listed incomes, you and your children may be eligible for other government programs, such as Medicaid or the Children's Health Insurance Program (CHIP).

Contact a licensed benefit advisor for more information on whether you qualify for a PTC or CSR.

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