You may have noticed that your monthly bill for health insurance changed. This could be due to a change in the amount of financial help you qualify for. There are two types of financial help you may qualify for: the Premium Tax Credit (PTC), which you can take in advance (APTCs) or claim on your federal income tax return, and Cost-Sharing Reductions (CSRs).
| The amount of financial help you can receive is based on: 1. Annual Income: Your tax household's total expected income for the year. 2. Household size: The total number of people in your tax household. |
Your eligibility for financial help can change for a number of reasons:
- You reported a change to your household income that is higher than what you previously reported: You may not qualify for the same amount of Premium Tax Credit (PTC) or any Premium Tax Credit (PTC).
- You did not provide the requested documents to prove your eligibility for financial coverage or financial help.
- You received a Premium Tax Credit (PTC) but you didn't file a federal income tax return or did not file Form 8962 for two consecutive years. You won't be eligible for Premium Tax Credits (PTC) until you file Form 8962 for both tax years.
- You did not give consent for us to verify your household's income with the Internal Revenue Service (IRS).
- You no longer claim a person as a tax dependent or you are married but filed separate federal income tax returns (if married you must file a joint federal income tax return to receive Advance Premium Tax Credits (APTCs)).
- You are newly eligible for a government- sponsored program (such as Medicare, HUSKYMedicaid, CHIP, VA Care, or Tricare)
- Your employer offered you affordable minimum coverage
Do you think your eligibility determination is wrong?
If you think you may still be eligible to receive some or more financial help, please review your Access Health CT application and follow the appeal instructions in your eligibility determination notice. If you need help understanding your eligibility, please contact us at 1-855-805-4325. Customers who are deaf or hearing impaired may use the TTY at 1-855-789-2428 or contact us at 1-855-805-4325 with a relay operator. Access Health CT cannot reinstate Advance Premium Tax Credits (APTCs) if your eligibility determination is correct.
Other options
If you are impacted by the change in your eligibility determination for financial help, you can consider the following options:
- Enroll in a Qualified Health Plan with the new amount of financial help you qualify for, if any
- Contact the Connecticut Department of Social Services (DSS) to apply for HUSKY C
- Contact CHOICES at 1-800-994-9422 to explore options for the Medicare Savings Program