Maine United HealthLicensed Maine health insurance broker · Lewiston
Guide

My job offers health insurance. Can I still get CoverME.gov savings?

Christopher York, licensed Maine health insurance producer · October 2026

Sometimes. It comes down to whether the job's plan counts as affordable and good enough under federal rules.

The two tests

If the job's plan passes both, the employee cannot get a premium tax credit on CoverME.gov. You can still buy a CoverME.gov plan, at full price.

Family members are tested separately

Since 2023, a spouse and children are judged on what it costs to cover the family, not just the worker. If family coverage costs more than 10.22% of household income, the family members may qualify for savings even when the worker does not.

Part-time, seasonal, or not offered

If your job does not offer coverage to you, or you are not eligible yet, the job's plan does not block savings. Turning down an offer of affordable coverage does not make you eligible.

What to bring

Ask your employer for the monthly employee cost for the cheapest plan, and the cost to cover your family. CoverME.gov asks for these, and they decide the answer.

Common questions

What counts as affordable employer coverage in 2027?

For 2027 the IRS set the threshold at 10.22% of household income for the employee's share of the cheapest employee-only plan.

Can my spouse and kids get CoverME.gov savings if my job offers family coverage?

They may, if the cost of family coverage is more than 10.22% of household income and they meet the other rules.

Can I turn down my job's plan and get a subsidy?

Not if the plan is affordable and meets minimum value. Declining it does not make you eligible for a premium tax credit.

Related guides

Checked October 2026. Sources:

Not legal or tax advice. Rules and prices change; if a number here affects you, call 207-631-3546 and we will check it for your household for free.

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