Cost Sharing Reduction (CSR)

CSR is the discount that reduces the amount of deductibles, copayments, and coinsurance you must pay. Cost-sharing reductions are commonly referred to as “additional savings” in the Health Insurance Marketplace. To receive the additional savings, you must enroll in a Silver category plan if you qualify.

  • You will find out if you qualify for premium tax credits and additional discounts when you complete a Marketplace application. A premium tax credit can be applied to any metal category plan. If you qualify for further discounts, you’ll only be able to earn them if you choose the Silver plan.
  • If you qualify for cost-sharing reductions, your out-of-pocket maximum — the total amount you’d have to pay for covered medical care in a given year — is also reduced. Once you’ve reached your out-of-pocket maximum, your insurance plan will pay for all covered services in full.
  • If you are a member of a federally recognized tribe or an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder, you may be entitled to further cost-sharing discounts.

 

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About the Author: Lucas Reynolds

Lucas Reynolds
Lucas Reynolds is a personal finance writer and insurance researcher who helps readers navigate auto, home, health, life, and Medicare coverage. He breaks down complex policy details and industry updates into clear, practical guidance so you can compare options with confidence. His work draws on years of analyzing insurance markets and regulatory changes, from Medicare premium adjustments to regional coverage variations. Lucas focuses on giving you the facts you need to make informed decisions, without the jargon.