看這兩段:

According to the IRS, changes in circumstances that can affect the amount of your premium tax credit include increases or decreases in your household income. Social Security benefits are counted as income in determining eligibility for premium tax credits in the Marketplace.

Paying your medical insurance premiums in pre-tax dollars instead of after-tax dollars will reduce the total amount of your taxable incomeThis means less money will be withheld in Social Security and income taxes.

我是暈的。不是很懂具體,比如我用的tax credit 是不是就是 pre-tax dollars...

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