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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