Health Insurance Insider – October 9, 2025
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The Subsidy Cliff & What You Need to Know NOW:
đľ The expanded healthcare tax credits implemented during COVID-19, which helped eliminate the âsubsidy cliffâ for those earning more than 400% of the Federal Poverty Level (FPL) are set to expire.
âď¸ If Congress doesnât act, the pre-COVID rules will return. The âcliffâ means that if your income exceeds that 400% FPL (or $62,600) threshold by even one dollar, you could lose your entire tax credit and have to pay it back.
Strategic Planning is Key đď¸
â ď¸ For the self-employed and others who make more than 400% FPL, itâs crucial to prepare now.
The existing tax credits arenât going away entirely, but they will revert to their limited pre-COVID amounts.
- If youâre over the $62,600 mark, you may need to look at options other than Healthcare.gov.
- In Utah, group plans may be 20-21% less expensive and are a viable alternative for the self-employed to explore immediately.
đď¸ Donât wait! We must strategize now by considering a group plan. If Congress extends the tax credits by January 1st, we can always cancel and move you back to the individual marketplace during a potential special enrollment period.
Letâs talk now about securing your best healthcare strategy for 2026. Call us at 801-901-7800.



