Minimum value

April 25, 2018 Posted by

A standard of minimum coverage that applies to job-based health plans. If your employer’s plan meets this standard and is considered “affordable,” you won’t be eligible for a premium tax credit if you buy a Marketplace insurance plan instead.

A health plan meets the minimum value standard if both of these apply:

  • It’s designed to pay at least 60% of the total cost of medical services for a standard population
  • Its benefits include substantial coverage of physician and inpatient hospital services

To find out if your job-based plan meets the minimum value standard, ask your employer.

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