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ACA marketplace subsidies — 2026 plan year

Arizona ACA Subsidy Eligibility (2026)

Who qualifies for an ACA premium tax credit in Arizona, how the state's Medicaid expansion status affects eligibility, and what the 2026 reverted subsidy schedule means at common income levels.

See your exact numbers: Use the ACA Premium Tax Credit Calculator with your real household income, size, and benchmark plan premium.

Where to enroll

Arizona uses the federally-facilitated marketplace — shop for plans and enroll through HealthCare.gov.

Visit HealthCare.gov →

Medicaid expansion status

Arizona has adopted the ACA's Medicaid expansion. Residents with household income below 138% of the Federal Poverty Level (FPL) generally qualify for Medicaid instead of a marketplace premium tax credit.

2026 subsidy schedule — the 400% FPL cliff

The enhanced (IRA-era) premium tax credit expired December 31, 2025 and was not extended by OBBBA. For the 2026 plan year, ACA subsidies revert to the pre-2021 schedule: a hard cliff at 400% of the Federal Poverty Level — no premium tax credit at all above it — and required-contribution percentages rising to about 9.96% of income just below the cliff, per IRS Rev. Proc. 2025-25.

Household of 1 — Arizona 2026 examples

% of FPL Household income Status Expected contribution
150% $23,475/yr PTC-eligible (4.2% of income) $984/yr
200% $31,300/yr PTC-eligible (6.6% of income) $2,066/yr
250% $39,125/yr PTC-eligible (8.4% of income) $3,302/yr
300% $46,950/yr PTC-eligible (10.0% of income) $4,676/yr
400% $62,600/yr PTC-eligible (10.0% of income) $6,235/yr

Illustrative only — uses the 2025 HHS poverty guideline for household size 1 in Arizona's region and the 2026 plan year's reverted applicable-percentage schedule. Actual credits depend on your exact income, benchmark Silver plan premium, and filing status — use the calculator above for your own numbers.

Household of 4 — Arizona 2026 examples

% of FPL Household income Status Expected contribution
150% $48,225/yr PTC-eligible (4.2% of income) $2,021/yr
200% $64,300/yr PTC-eligible (6.6% of income) $4,244/yr
250% $80,375/yr PTC-eligible (8.4% of income) $6,784/yr
300% $96,450/yr PTC-eligible (10.0% of income) $9,606/yr
400% $128,600/yr PTC-eligible (10.0% of income) $12,809/yr

Illustrative only — uses the 2025 HHS poverty guideline for household size 4 in Arizona's region and the 2026 plan year's reverted applicable-percentage schedule. Actual credits depend on your exact income, benchmark Silver plan premium, and filing status — use the calculator above for your own numbers.

Frequently asked questions

Where do I enroll in ACA marketplace coverage in Arizona?

Arizona uses the federally-facilitated marketplace — shop for plans and enroll through HealthCare.gov.

Has Arizona expanded Medicaid?

Arizona has adopted the ACA's Medicaid expansion. Residents with household income below 138% of the Federal Poverty Level (FPL) generally qualify for Medicaid instead of a marketplace premium tax credit.

What is the ACA subsidy cliff for the 2026 plan year?

The enhanced (IRA-era) premium tax credit expired December 31, 2025. For the 2026 plan year, subsidies revert to the pre-2021 schedule: a hard cliff at 400% FPL (no premium tax credit at all above it) and required-contribution percentages up to about 9.96% of income, per IRS Rev. Proc. 2025-25.

When is ACA open enrollment for Arizona?

Under CMS's 2025 Marketplace Integrity and Affordability final rule, HealthCare.gov's open enrollment window shortens beginning with the 2027 plan year to November 1 – December 15. Check HealthCare.gov close to the date for that year's exact deadline.

Sources

Related insights

Use these guides for rule explanations, planning context, and follow-up questions beyond the calculator result.

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