The ACA subsidy cliff in Virginia (2026)

Enroll through Virginia's Insurance Marketplace. Here is what the 400% cliff means for Virginia residents this year.

Virginia runs on its own state-based marketplace, but the subsidy math itself is federal and identical everywhere: cross 400% of the federal poverty level and the premium tax credit goes to $0, with no phase-out. At an estimated $1,070/month benchmark silver premium for a 60-year-old in Virginia, a household that lands just over the line can lose roughly $7,300 a year in subsidy — often more than a car payment, for a single extra dollar of income.

What2026 figure
400% FPL — single person$62,600
400% FPL — household of 2$84,600
400% FPL — household of 3$106,600
400% FPL — household of 4$128,600
State exchangeVirginia's Insurance Marketplace
Est. benchmark silver premium (age 60)*$1,070/mo
Est. subsidy at stake near the cliff*~$7,300/yr

*Estimates for education. Exact premiums depend on your county, age, and plan — confirm on Virginia's Insurance Marketplace.

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Virginia coverage snapshot

Virginia residents shop for ACA plans through Virginia's Insurance Marketplace, its own state-based marketplace. Virginia expanded Medicaid in 2019, so residents near the poverty line typically qualify for Medicaid rather than a marketplace subsidy.

Over the line in Virginia? Your options

The strategies are federal, so they work the same in Virginia: lower your MAGI under 400%, HSA + Bronze plan, or — if self-employed — an ICHRA.

Frequently asked

What is the ACA subsidy cliff income limit in Virginia for 2026?

The cliff is 400% of the federal poverty level, the same in all 48 contiguous states: about $62,600 for one person, $84,600 for a household of two, and $128,600 for a household of four for 2026 coverage. Above that, the premium subsidy in Virginia drops to $0 — there is no phase-out.

Where do I enroll in Virginia?

Virginia residents enroll through Virginia's Insurance Marketplace (https://marketplace.virginia.gov/), its own state-based marketplace. Open Enrollment for 2027 coverage begins November 1, 2026.

Has Virginia expanded Medicaid?

Virginia expanded Medicaid in 2019, so residents near the poverty line typically qualify for Medicaid rather than a marketplace subsidy. This matters most for households near the bottom of the income range — the subsidy cliff itself is a federal rule and applies the same way in every state once you’re shopping on the marketplace.

Talk to a licensed broker about your options

Free, no obligation. A broker can price your 2026 Virginia plans and the strategy moves.

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