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What are individuals eligible for under the ACA if their household incomes represent a specific percentage of the Federal Poverty Level?

  1. Cost-sharing

  2. Medicare benefits

  3. Disability insurance

  4. Life insurance premiums

The correct answer is: Cost-sharing

Individuals with household incomes that fall within a certain percentage of the Federal Poverty Level (FPL) may be eligible for cost-sharing reductions under the Affordable Care Act (ACA). Cost-sharing reductions are designed to lower out-of-pocket costs such as deductibles, copayments, and coinsurance for those who qualify. These reductions make healthcare more affordable for low- to moderate-income individuals, encouraging them to seek medical care without the burden of high costs. This eligibility is specifically targeted at people who purchase insurance through state or federal health insurance marketplaces and whose incomes are typically between 100% and 250% of the FPL. This information highlights how the ACA aims to increase accessibility and affordability of healthcare for those in need. In contrast, Medicare benefits are generally provided based on age (65 and older) or specific disabilities, disability insurance is meant for individuals unable to work due to disability, and life insurance premiums relate to financial protection after death, which are not connected to ACA provisions.