Louise Norris
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louisenorris.bsky.social
Louise Norris
@louisenorris.bsky.social
Health policy analyst. Health insurance, Medicare, Medicaid, health care reform. I write for healthinsurance.org, medicareresources.org, Verywell.com, and healthinsurancecolorado.net. She/Her
Thank you so much! I'm glad it's helpful!
December 6, 2025 at 1:38 AM
Reposted by Louise Norris
As @louisenorris.bsky.social explains, tax-deductible contributions to Individual Retirement Accounts (IRAs) or Health Savings Accounts (HSAs) can cut down your MAGI income, and if you're self-employed you can also deduct a portion of the premiums themselves.

www.healthinsurance.org/faqs/how-mig...
How might my tax deductions affect the size of my ACA premium subsidy?
Learn how tax-deductible contributions to an IRA, HSA, or self-employed health insurance deduction might lower your MAGI and boost the amount of your ACA premium tax credits.
www.healthinsurance.org
November 30, 2025 at 3:27 PM
I agree it's a conundrum. Tagging a few folks who might have other thoughts on this. @cynthiaccox.bsky.social @larrylevitt.bsky.social @kgmom219.bsky.social
November 29, 2025 at 9:18 PM
If Congress were to eventually extend the subsidy enhancements at some point in 2026 and you became newly eligible for subsidies at that point, it would trigger a Marketplace special enrollment period. But it would not necessarily trigger an employer SEP to let you drop the ICHRA.
November 29, 2025 at 9:17 PM
It sounds like what you have is an ICHRA, which employers can choose to offer to retirees. People who take an ICHRA benefit are not eligible for Marketplace subsidies: www.healthinsurance.org/glossary/ind...
What is an individual coverage health reimbursement arrangement (ICHRA)?
An individual coverage health reimbursement arrangement (ICHRA) is a new type of health reimbursement arrangement, available as of 2020, in which employers of any size can reimburse employees for some...
www.healthinsurance.org
November 29, 2025 at 9:16 PM
To be clear, I'm referring to full-price individual market plans. But people with employer-sponsored coverage are also seeing increases.
November 25, 2025 at 7:49 PM
Yes, the nationwide average increase for people paying full price is about 26%, which is the largest we've seen in several years. (Part of the reason for the large rate increases is the expiring subsidy enhancements, as insurers know that will result in fewer healthy people enrolled.)
November 25, 2025 at 7:48 PM
The Marketplace websites have filters you can use, and one of them will filter the results so that you only see HSA-eligible plans. In past years, that filter would generally only show a few plans, or zero in some areas. For 2026, it will show all Bronze plans (plus others in some areas)
Welcome to the Health Insurance Marketplace®
Welcome to the Health Insurance Marketplace®. Official government website.
HealthCare.gov
November 10, 2025 at 11:02 PM
The maximum you can contribute to an HSA in 2026 is $4,400 if you have self-only HDHP coverage, and $8,750 if the plan also covers at least one other family member.
And yes, you can open an HSA on your own, through a bank or investment brokerage, and contribute as long as you have an HDHP.
November 10, 2025 at 10:59 PM
Before 2026, most Bronze Marketplace plans are not HDHPs. But starting in 2026, all Bronze Marketplace plans will be HDHPs, by definition: www.healthinsurance.org/blog/one-big... (also catastrophic plans, but those aren't subsidy-eligible).
One Big Beautiful Bill Act brings sweeping changes to health coverage
Five provisions of the One Big Beautiful Bill (OBBBA) Act take effect in 2025 and early 2026 and will significantly impact Medicaid enrollees, Marketplace consumers, and low-income immigrants. In this...
www.healthinsurance.org
November 10, 2025 at 10:57 PM