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Home › Subsidy calculator › kynect income limits 2026
Written and reviewed by Dick Tracy, licensed health insurance broker (NPN 20414610) · Published September 18, 2026
For 2026 coverage, kynect gives a federal premium tax credit to households up to 400% of the poverty level: $62,600 for one person and $128,600 for a family of four. One dollar over and the credit is zero, because the enhanced credits expired December 31, 2025. Adults under 138% ($22,032 single, $45,540 for four on kynect's own chart) go to Kentucky Medicaid, so in practice the credit starts just above that line. Children and pregnant women qualify for Medicaid up to 200% of poverty, and uninsured children are covered through KCHIP up to 218% ($71,940 for a family of four), with no premium. Kentucky adds no state subsidy and has no reinsurance program, and the 2026 rates went up 29.8% on average while one of the four carriers left. Every line for households of one to eight is below, then the doors if you are over the top one. I educate, you decide.
Premium tax credit lines use the 2025 poverty guidelines (the federal rule for 2026 coverage). Medicaid and KCHIP figures are the yearly amounts printed on kynect's chart effective April 1, 2026, which are its rounded monthly limits times twelve. Income means modified adjusted gross income for the whole household for 2026. Married couples must file jointly to claim the credit.
Two programs, two poverty tables. The tax-credit range for 2026 coverage runs on the 2025 poverty guidelines ($15,650 for one person plus $5,500 each), because the federal rule sets a plan year's eligibility with the prior year's table. Kentucky Medicaid and KCHIP run on the 2026 guidelines ($15,960 plus $5,680), and kynect's chart with those figures took effect April 1, 2026. The federal credit technically starts at 100% of poverty, but a Kentucky adult between 100% and 138% is sent to Medicaid instead, which is why kynect's own chart starts the credit above 138%.
| Household | Kentucky Medicaid adults (138%) | Children and pregnant women, Medicaid (200%) | Uninsured children and pregnant women (218%) | Tax credit floor (100%) | Tax credit ends (400%) |
|---|---|---|---|---|---|
| 1 | $22,032 | $31,920 | $34,800 | $15,650 | $62,600 |
| 2 | $29,868 | $43,284 | $47,184 | $21,150 | $84,600 |
| 3 | $37,704 | $54,648 | $59,568 | $26,650 | $106,600 |
| 4 | $45,540 | $66,000 | $71,940 | $32,150 | $128,600 |
| 5 | $53,388 | $77,364 | $84,324 | $37,650 | $150,600 |
| 6 | $61,224 | $88,728 | $96,708 | $43,150 | $172,600 |
| 7 | $69,060 | $100,080 | $109,092 | $48,650 | $194,600 |
| 8 | $76,896 | $111,444 | $121,476 | $54,150 | $216,600 |
| Each additional | +$7,848 | +$11,364 | +$12,384 | +$5,500 | +$22,000 |
Source: kynect Federal Poverty Level chart (Medicaid table effective April 1, 2026; tax credit table for plan year 2026), linked from kynect facts and resources. Two things about that chart. First, kynect prints yearly figures as the rounded monthly limit times twelve, so it shows $62,640 for one person and $128,640 for four at 400%; the federal lines the IRS uses at tax time are $62,600 and $128,600, and those are the ones in my table. Second, the chart's tax-credit header still reads "no upper income limit," which was true through 2025 and is not true for 2026. The chart also carries a 147% children's column; the 200% to 218% band is for children and pregnant women who are uninsured. For 2027 coverage the tax credit table moves to the 2026 guidelines: $63,840 for one and $132,000 for four at the cliff.
Some states softened the landing when the enhanced federal credits expired. Maryland and Connecticut put state money in, and others run reinsurance programs that shave a few points off everyone's premium. Kentucky has neither. I found no state premium subsidy anywhere on kynect's pages, and Kentucky is not among the states with a federal reinsurance waiver in KFF's tracker. When Governor Beshear addressed the 2026 increases in September 2025, the ask was for Congress to extend the federal credits, not a state program. So the only help on kynect is the federal credit in the table above, and it stops cold at 400% of poverty.
Sources: KFF, Section 1332 waiver tracker; Office of the Governor, September 26, 2025.
| Marketplace average (age 40, before any subsidy) | Kentucky | US average |
|---|---|---|
| Benchmark Silver plan, 2026 | $590/month | $625/month |
| Benchmark Silver plan, 2025 | $442/month | $497/month |
| Open enrollment sign-ups, 2025 to 2026 | 97,374 to 89,028 | 24.3 million to 23.1 million |
Sources: KFF, 2026 benchmark premiums; KFF, marketplace enrollment.
Kentucky's benchmark went from $442 to $590 in one year, a bigger jump than the national one. The approved individual-market increases for 2026 averaged 29.8% weighted by enrollment: Anthem 24.0%, Passport by Molina 15.1%, and Ambetter from WellCare 37.0%, per the rate filings tracked by ACA Signups. CareSource stopped selling marketplace plans in Kentucky at the end of 2025, which sent roughly 26,000 people shopping for a new carrier whether they wanted to or not. That leaves Anthem, Passport by Molina, and Ambetter as the medical carriers on kynect for 2026, and some counties have only Anthem. The Governor's office put the number of Kentuckians in the individual market at about 97,000 and listed the reasons: hospital and doctor costs, labor, specialty drugs, and the federal changes. Sign-ups fell from 97,374 to 89,028. Early 2027 filings point to another increase in the high teens, so this is not a one-year story.
Sources: ACA Signups, Kentucky 2026 approved rate changes; healthinsurance.org, Kentucky marketplace; kynect, 2026 health insurance companies; ACA Signups, Kentucky 2027 preliminary filings.
Kentucky expanded Medicaid in 2014, so adults qualify up to 138% of poverty with no asset test. kynect has posted the federal changes and their dates. On January 1, 2027, adults ages 19 to 64 who qualify on income alone must work or do community engagement at least 80 hours a month; new applicants must show it for the month before they apply, and current members for three of the six months before renewal. Exemptions include pregnancy, caregivers of young children, veterans, people who are medically frail, and people on SSI or SSDI. The same day, renewals for that group move to every six months instead of once a year, and backdated coverage shrinks to one month before the application. Earlier, on October 1, 2026, Medicaid eligibility narrows for some noncitizens. If you are near the $22,032 line as a single person, the practical effect is that income that drifts above it, plus a missed six-month renewal, can put you on kynect mid-year with a credit you did not plan for. Report the change the month it happens.
Source: kynect, changes coming to Medicaid and marketplace coverage.
kynect's posted window for 2027 coverage is November 1, 2026 through January 15, 2027. In past years December 15 has been the cutoff for coverage starting January 1. One caution: a federal rule that would have ended open enrollment by December 31 was struck down in court in 2026 and the details were still unsettled at mid-year, so confirm the dates on kynect before you plan around them, and check my 2027 dates page, which I update when they are final. Outside the window you need a qualifying event, generally reported within 60 days. Kentucky has one that many states do not: since January 1, 2025 a medically confirmed pregnancy opens a special enrollment period for the mother, spouse, and dependents, with tax credits available. Losing Medicaid or KCHIP qualifies any time of year. Dropping a plan for nonpayment does not qualify. Medicaid and KCHIP themselves take applications year-round. kynect's small-business marketplace is also winding down, because Anthem, its only issuer, is no longer offering those plans there.
Sources: kynect health coverage home page; kynect special enrollment; kynect pregnancy special enrollment.
Here is the part that makes Kentucky different from New York, where I sit. Off the marketplace, Kentucky allows private plans that are medically underwritten. A healthy household earning $135,000 that just watched its kynect credit go to zero is not stuck paying the sticker price on a market that went up almost 30%; it can be priced on its own health, with a national PPO network attached, and for healthy people that number is often meaningfully lower. That matters in a state where several counties have one marketplace carrier. The second door is a fixed-benefit plan, what I call the red bucket, for healthy people who want a low premium and are comfortable shopping for care. The third is a pre-established ERISA group plan at group rates, which can pull ahead when a spouse and kids are going on the policy. Short-term plans exist too; Kentucky sets no duration limit of its own, so federal rules apply, and I treat them as a gap-filler, not a plan. I walk through all four doors on the Kentucky self-employed guide. Kentucky's median household income is $64,526, which means the typical family of four is well under the $128,600 line and the two-earner professional household is the one standing on it. If you are within $10,000 of it, a Solo 401(k) or SEP contribution, run with your tax professional, is the first lever to pull.
Sources: healthinsurance.org, Kentucky short-term rules; Census ACS 2024 one-year estimate, Kentucky median household income.
Premium tax credits end at 400% of the 2025 poverty guidelines: $62,600 for one person, $84,600 for two, $106,600 for three, $128,600 for four, plus $22,000 per additional person. Adults under 138% ($22,032 single, $45,540 for four, on kynect's chart effective April 1, 2026) qualify for Kentucky Medicaid instead. Children and pregnant women qualify up to 200%, and uninsured children up to 218% through KCHIP.
A credit up to $128,600. Under $45,540 the adults are in Kentucky Medicaid. The children qualify for Medicaid up to $66,000, and uninsured children are covered through KCHIP up to $71,940 with no premium. Above that, the children go on the family's kynect plan.
A credit up to $62,600. Under $22,032 a year ($1,836 a month), Kentucky Medicaid. At $62,601 the credit is zero for 2026. kynect's chart prints $62,640 because it multiplies a rounded monthly figure by twelve; the federal line used at tax time is $62,600.
No. Kentucky has no state premium subsidy on kynect and no reinsurance program. The only help is the federal premium tax credit, which ends at 400% of poverty for 2026, and the federal cost-sharing reductions on Silver plans up to 250%.
The approved increases averaged 29.8% weighted by enrollment: Anthem 24.0%, Passport by Molina 15.1%, Ambetter from WellCare 37.0%. CareSource left the marketplace at the end of 2025, displacing roughly 26,000 members. The benchmark silver for a 40-year-old rose from $442 to $590 a month, and sign-ups fell from 97,374 to 89,028.
On kynect's chart effective April 1, 2026: children and pregnant women qualify for Medicaid up to 200% of poverty ($43,284 for two, $54,648 for three, $66,000 for four), and those who are uninsured are covered from 200% to 218% ($47,184 for two, $59,568 for three, $71,940 for four). kynect describes KCHIP as free. There is no buy-in tier above 218%.
kynect's posted window is November 1, 2026 through January 15, 2027, with December 15 the cutoff for a January 1 start in past years. Confirm on kynect, since the federal shortening rule was struck down in court in 2026. Outside the window you need a qualifying event; Kentucky also has a pregnancy special enrollment period, and losing Medicaid or KCHIP qualifies any time.
Above 400% the credit is zero for 2026 and you pay kynect's full price, about $590 a month for a 40-year-old on the benchmark silver. Kentucky allows medically underwritten private plans off the marketplace, so a healthy household can often be priced on its own health for less. The other doors are a fixed-benefit plan, a pre-established ERISA group plan, and, for a gap only, a short-term plan.
Give me your county, your ages, and an honest income figure and I will pull the actual kynect benchmark and credit, then price it against a plan written on your health and the ERISA door. Free, no hard sell, licensed in Kentucky. I educate, you decide.
Pick a slot below and it lands on both our calendars. Phone or Zoom, plan documents on the screen, real numbers side by side. I educate, you decide.