 [ Symptoms ] i went to the doctor and am being treated for strep but after three days of antibiotics i still have spots in my throat and i am still in a lot of pain [ Disease ] if you qualify for a premium subsidy tax credit to help lower your cost for health insurance the subsidy will be paid directly to the insurer selling the health plan you have chosen states may allow different ways of paying for your share of the premium for the health plan you choose – the payment options are not yet known as of mid july 2013 at a minimum however you will be able to pay with a personal check a credit card or a certified check