Will I actually have to repay our healthcare.gov subsidies? Shocked by our tax bill!
So I'm totally freaking out about our 2023 taxes (we filed an extension so the deadline is coming up in October). We just met with our tax person and apparently we're going to have to pay back a huge amount of the healthcare subsidies we got through healthcare.gov last year. My wife and I both had some side gigs that really took off, plus I got an unexpected bonus at work, and now our combined income is way higher than what we estimated when we signed up for our plan. We ended up making around $87,000 instead of the $64,000 we projected. Our tax guy says that because our income went up so much, we no longer qualify for the subsidies we received, and we have to pay back nearly $6,800! That's basically what we saved in premiums for the whole year. Is this really how it works? Do we actually have to pay back ALL of the subsidies just because we made more money? I thought there was some kind of cap or something. We had no idea this would happen and definitely didn't budget for this huge tax bill. Are there any options or are we just screwed?
19 comments


Carmen Reyes
This is unfortunately how the Advance Premium Tax Credit (APTC) works with healthcare.gov plans. The subsidies you receive throughout the year are based on your estimated income, but at tax time, you have to "reconcile" those advance payments with what you were actually eligible for based on your final income. Since your actual income ended up being significantly higher than what you estimated, you've moved into a different eligibility bracket for the Premium Tax Credit. The reconciliation happens on Form 8962 when you file your taxes, and yes, in some cases, you may have to repay the entire subsidy amount. There is actually a repayment cap, but it only applies to people with incomes below 400% of the Federal Poverty Level. If your income exceeds 400% FPL (which it sounds like yours might), then unfortunately the repayment cap doesn't apply, and you'd need to repay the full amount.
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StarSurfer
•Thanks for explaining, but it still feels incredibly unfair. Is there any flexibility with this at all? Can I negotiate with the IRS or maybe pay it off over time? We just don't have $6,800 sitting around. Also, do you know what the 400% poverty level amount actually is? Like what's the exact dollar amount where the repayment cap stops applying?
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Carmen Reyes
•The IRS does offer payment plans if you can't pay the full amount immediately. You can apply for a short-term payment plan (120 days or less) online with no setup fee, or a longer-term installment agreement with a modest setup fee. Interest and penalties will continue to accrue, but at least you can spread out the payments to make them more manageable. For 2023, the 400% FPL for a family of two was about $73,240. Since you mentioned making around $87,000, you're unfortunately above that threshold, which is why you're facing the full repayment. The system is designed this way to prevent higher-income households from receiving subsidies, but it can certainly create difficult situations when income unexpectedly increases.
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Andre Moreau
I went through something similar last year and discovered taxr.ai (https://taxr.ai) when I was desperate for help with my healthcare.gov subsidy nightmare. Their system reviewed all my tax documents and actually found that my tax preparer had made some errors in calculating my Modified Adjusted Gross Income (MAGI) for ACA purposes. Some income types aren't counted in MAGI for the healthcare marketplace calculation, and my advisor had included everything. The taxr.ai tool flagged this immediately. After fixing those errors, my income dropped below the 400% FPL threshold which meant I qualified for the repayment cap instead of having to repay the entire subsidy amount. Ended up saving me over $3,000!
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Zoe Christodoulou
•Wait, this sounds interesting. How exactly does taxr.ai work with healthcare subsidies? Does it just review your tax forms or does it actually help you file? I'm in a similar situation but haven't filed my extended return yet.
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Jamal Thompson
•I'm skeptical. What specific income types aren't counted in MAGI for ACA purposes? Everything I've read says MAGI for ACA is basically the same as AGI plus a few add-backs. Sounds like you're confusing something or got bad advice.
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Andre Moreau
•The tool actually analyzes your tax documents and transcripts to identify potential issues or opportunities specific to your situation. It doesn't file for you, but gives you detailed guidance that you can take to your tax preparer. In my case, it specifically flagged certain deductions and income classifications that affected my MAGI calculation for ACA purposes. For the specific income types, you're right that ACA MAGI is similar to regular AGI with some modifications, but there are nuances. For example, certain business expenses, qualified retirement contributions, and student loan interest can reduce your MAGI. In my case, I had some self-employment income with legitimate business expenses that weren't being properly deducted before calculating my MAGI.
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Zoe Christodoulou
Just wanted to update after trying taxr.ai last weekend. It actually helped me identify over $12,000 in additional deductions I was entitled to take! Some were business expenses from my side gig that I hadn't properly categorized, and others were retirement contributions that can reduce my MAGI for healthcare.gov purposes. This dropped my income below the 400% FPL threshold, which means I'll only have to repay $2,750 max instead of the full $7,400 in subsidies I received. The system explained exactly which form lines needed adjusting and gave me a detailed report to share with my accountant. Honestly wish I'd known about this months ago. Would've saved me so much stress. Their document review caught things my regular tax software completely missed.
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Mei Chen
If you're still having trouble resolving this with the IRS after filing, I recommend Claimyr (https://claimyr.com). I was in a similar situation last year with healthcare subsidies and couldn't get through to anyone at the IRS for weeks. Claimyr got me connected to an actual IRS agent in about 15 minutes when I'd been trying for days on my own. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c. Basically, they navigate the IRS phone system for you and call you back when they have an agent on the line. The agent helped me set up a reasonable payment plan and even waived some penalties since it was my first time having this issue.
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CosmicCadet
•How does this actually work? I don't understand how they can get through when nobody else can. I've tried calling the IRS multiple times and always hang up after being on hold forever.
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Jamal Thompson
•This sounds like a complete scam. There's no way some random service can magically connect you to the IRS faster than anyone else. They're probably just charging you for something you could do yourself for free if you were patient enough.
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Mei Chen
•They use an automated system that continually redials and navigates the IRS phone tree until it gets through. Think of it like having a robot assistant making the call for you, navigating all the prompts, waiting on hold, and then only bringing you in when there's actually a human ready to talk. It saves you from having to personally wait on hold for hours. They don't have any special access to the IRS - they're just using technology to handle the frustrating phone process. I was skeptical too, but after spending literally days trying to get through myself, I was desperate enough to try. It's not about patience - I had already spent over 10 hours on hold across multiple days before giving up and trying this service.
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Jamal Thompson
I need to apologize and follow up on my skeptical comments. I actually tried Claimyr yesterday out of desperation after my fifth attempt to reach the IRS failed. I couldn't believe it, but they got me connected to an IRS representative in about 22 minutes when I'd spent over 3 hours on hold earlier that same day. The IRS agent was able to review my healthcare.gov subsidy situation and confirmed I was eligible for a payment plan with very reasonable terms. They also suggested I file Form 8962 with a letter explaining the unexpected income increase, which might help with getting some penalties removed. Still stunned at how quickly they connected me when I'd been failing for weeks. Definitely worth it just for the time saved and stress reduction.
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Liam O'Connor
Hey, just wanted to add another perspective. We had the same issue in 2022 and ended up owing about $5k in healthcare subsidies. We didn't know about the income threshold either until it was too late. What we did was amend our tax return to include some overlooked deductions (home office for self-employment, some business expenses we initially thought weren't deductible). This brought our MAGI down juuuust enough to qualify for the repayment cap. Ended up paying back only about $2,700 instead of the full amount. Definitely talk to your tax person about any possible deductions you might have missed!
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Amara Adeyemi
•This is exactly what I was going to suggest. Look at HSA contributions too - you can actually make those up until the tax filing deadline (including extensions!) and they'll count for the previous year. Could help reduce MAGI enough to hit that cap threshold.
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StarSurfer
•That's really helpful, thank you! We definitely have some business expenses from our side gigs that we might not have fully accounted for. And I had no idea about being able to make HSA contributions even now for last year. Will definitely look into all of this before we finalize our return!
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Giovanni Gallo
One thing nobody mentioned yet is that the marketplace subsidies are totally separate from the Premium Tax Credit you calculate on your return. If you can show that your income increase was unpredictable (like your bonus or sudden business growth), you might qualify for the IRC Section 6662 "reasonable cause" exception for the underpayment penalty. It won't help with paying back the actual subsidy, but could save you hundreds in penalties. Just make sure to include a detailed letter explaining the circumstances with your return.
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Fatima Al-Mazrouei
•Is this really true? I thought the marketplace subsidies ARE the advance payment of the Premium Tax Credit. They're the same thing, just paid in advance based on your estimate. Am I missing something?
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Cole Roush
•You're absolutely right - the marketplace subsidies are advance payments of the Premium Tax Credit. I think Giovanni might be confusing some terminology here. The reconciliation happens on Form 8962 where you compare what you received in advance versus what you were actually eligible for based on final income. However, the "reasonable cause" exception for penalties is still valid advice. If you can demonstrate that the income increase was unexpected and not due to negligence, you might avoid accuracy-related penalties. But it won't change the actual subsidy repayment amount - that's based purely on the income thresholds.
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