A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
Speak with a licensed insurance agent 888-389-0372
Speak with a licensed insurance agent 888-389-0372
A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
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See if you're eligible for the Affordable Care Act's premium tax credits (premium subsidies), how subsidies are calculated, and why subsidy amounts in 2026 may be different.
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Federal poverty level for 2026 coverage
Learn about the federal poverty level (FPL) - also known as federal poverty guidelines - for 2026 coverage. Utilize our FPL calculator to determine your eligibility for Medicaid/CHIP or Marketplace subsidies.

beneficiary

beneficiary infographic

What is a beneficiary?

The beneficiary is enrolled in a health insurance plan and receives benefits through the policy in the form of paid claims and/or network-negotiated rates for the portion of the claim that the beneficiary has to pay.

A beneficiary can have any type of health insurance, including Medicare, Medicaid, or private coverage. But it's particularly very common to see this term used in relation to Medicare (for example, "there are 67 million Medicare beneficiaries" means that 67 million people are enrolled in Medicare).

The term beneficiary is also used in the context of life insurance, and refers to the person (or people) who receives payment under the plan in the event that the insured person passes away.

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