Obamacare

I would like advice on what the rest of you are going through and what you think I should do in my situation.

I make approximately 41,000 per year.
11,000 of that goes to taxes.
I get back about 1,300.

I have other expenses such as property tax, food, bills, and the same things all of us have to pay for.

I do not qualify for medicaid.

I submitted a hardship exemption application into the marketplace on January 4th. The application itself stated they would get back to me in 1-2 weeks. I have since called 2x per week since January 20th. All the representatives maintain that they have no information.

I do not qualify for a tax credit because the only thing they take into consideration is the 41k… not what I have left after taxes and bills.

I sent 3 emails via the White House website. I have sent two snail mail letters into the exemption office. I have no information regarding whether or not anything has been processed. The deadline is March 31st.

The cheapest bronze plan in the marketplace is $321 per MONTH, and would require me to change all my doctors. There is a catastrophic plan that is $202 per month, but would have to pay into it for 3 years before anything becomes a benefit. (I also do not understand when the deductibles reset, and if I would ever benefit at all.)

I haven’t had insurance since 1998. I pay for everything out of pocket because I do not require much care.

I pay about $35/month for medicine.
I pay $99 a year to see the dentist.
1 possible doctor visit is $65
1 specialist visit is $185
1 blood test is $95

So I pay under $900 a year… Any insurance plan would be a significant increase, and they wouldn’t even cover my doctors or my medication. None of the plans benefit me in anyway. They would be increasing what I pay for health care.

Would someone PLEASE explain to be where having health coverage would benefit me? Where or why would an insurance company ever pay out more than they take in? If they did, they wouldn’t be in business. Where would it benefit me to pay 4x more than I need to?
Where can I go to find help regarding my exemption? I’ve exhausted all efforts in the mediums I listed above.

What happens to people who even make less than I do, but still don’t qualify for any credits? What if you can’t afford to pay the penalty? Is the government going to send debt collectors after people?

Further, how would I report an employer who is doing some "shady" things to avoid providing healthcare to myself and everyone I work with? If he was abiding my proper business practices, we would all have coverage.

Thanks.

I would like advice on what the rest of you are going through and what you think I should do in my situation.

I make approximately 41,000 per year.
11,000 of that goes to taxes.
I get back about 1,300.

I have other expenses such as property tax, food, bills, and the same things all of us have to pay for.

I do not qualify for medicaid.

I submitted a hardship exemption application into the marketplace on January 4th. The application itself stated they would get back to me in 1-2 weeks. I have since called 2x per week since January 20th. All the representatives maintain that they have no information.

I do not qualify for a tax credit because the only thing they take into consideration is the 41k… not what I have left after taxes and bills.

I sent 3 emails via the White House website. I have sent two snail mail letters into the exemption office. I have no information regarding whether or not anything has been processed. The deadline is March 31st.

The cheapest bronze plan in the marketplace is $321 per MONTH, and would require me to change all my doctors. There is a catastrophic plan that is $202 per month, but would have to pay into it for 3 years before anything becomes a benefit. (I also do not understand when the deductibles reset, and if I would ever benefit at all.)

I haven’t had insurance since 1998. I pay for everything out of pocket because I do not require much care.

I pay about $35/month for medicine.
I pay $99 a year to see the dentist.
1 possible doctor visit is $65
1 specialist visit is $185
1 blood test is $95

So I pay under $900 a year… Any insurance plan would be a significant increase, and they wouldn’t even cover my doctors or my medication. None of the plans benefit me in anyway. They would be increasing what I pay for health care.

Would someone PLEASE explain to be where having health coverage would benefit me? Where or why would an insurance company ever pay our more than they take in? If they did, they wouldn’t be in business. Where would it benefit me to pay 4x more than I need to?
Where can I go to find help regarding my exemption? I’ve exhausted all efforts in the mediums I listed above.

What happens to people who even make less than I do, but still don’t qualify for any credits? What if you can’t afford to pay the penalty? Is the government going to send debt collectors after people?

Further, how would I report an employer who is doing some "shady" things to avoid providing healthcare to myself and everyone I work with? If he was abiding my proper business practices, we would all have coverage.

Thanks.

Hey,

You can opt out of the requirements, the penalty to do so is ~$90 bucks, and it comes out of a tax refund.

At 41,000 annual income, you do not qualify for a subsidy. You must be at or above 11,600 annual income, but no more than ~250% of that. If there is more than one taxpayer at the same address, you can earn more than that and get a subsidy.

Your best option, if you I understand you correctly, is to just keep exactly what you have now, and accept a tax refund of $1210 instead of $1300. There is no other penalty.

Your situation highlights the problems with Affordable Care Act. Right now, you aren’t sick and usually aren’t. But one day, you’ll going to find a bump on your balls, or maybe get diabetes, have an accident, etc-but- something WILL happen. And any of those things will bankrupt you immediately at 41k a year. Thanks to affordable care act, you will be able to sign up for insurance that doesn’t exclude pre-existing conditions, and it will pay the $100k medical bills for you…however, this is HORRIBLE for the insurance industry, and not how it is supposed to work. You might pay $300 a month, but you need to live about 200 years for the insurance company to break even, if you only buy coverage when you need it (which is what everyone does).

That scenario highlights the failures of this legislation-it’s not sustainable. Either they need to increase the tax penalty to be equal to not buying coverage, or, insurance rates are going to triple, again.

As for how insurance companies make money, you weren’t too far off the mark. Health insurance providers don’t make much money off the premiums, it’s about 6%. It has always been federally regulated. An insurer must pay out ~93% of all net collected premiums (after expenses) to claims. The other 6%, they put in regulated investments that pay dividends, and that’s where their profit comes from.

Part of the reason insurance companies didn’t fight the ACA is that they now get to increase that 6% to something more like 15%, to compensate for the massive risk they take in doing this. I don’t think it will work and they already regret it.

Source? Me! I’m a licensed health insurance agent

Your best option, if you I understand you correctly, is to just keep exactly what you have now, and accept a tax refund of $1210 instead of $1300. There is no other penalty.

I’ve even hear people say to change withholdings so you owe and then they can’t collect the $90 although I would pay it.

I don’t like the system we have atm cuz it’s not working as well as other countries with NHS-although you might find if we did do what other do, the actual taxes to pay for it would be more than 2-300 a month from many of us.

I looked at a website that has global health ins-so I could buy ins to cover me if I lived in, say Mexico or Costa Rica and it’s a better deal than what I will probably get with medicare one day.

I’m baffled how the USA ended up so messed up.

I appreciate your replies. The Obamacare reps told me that the first fee is $95 OR 1% of your income, whichever is higher. 1% of my income is $410. So wouldn’t my first fine be $410?

I have heard other people say to change my withholdings so that I don’t end up with a refund at the end of the year… but then won’t I end up with a fine that I need to pay in? (Even if my taxes were to magically break even and there’s no refund and nothing owed, can’t they charge me for Obamacare then?)

Are you able to explain to be how a deductible works on a catastrophic plan? Like I said, it would take 3 years of payments to reach the deductible. They also state that doctors and meds are "free after deductible." I assume this limit has to reset after a certain amount of time, correct? I can’t pay in for 3 years and then get free care for the rest of my life.

Payments do not count towards deductible and they reset every year based on ones I’ve had and others I looked at. So if you get really sick or hurt you owe the deductible and then it should tell you if it’s covered 100% for the rest of the year….

You do qualify for a subsidy, but it’s going to only be a few dollars. 45900 is the max for single income

You have to make a choice. Pay a fine and risk no insurance in case something major happens, or budget room for insurance. The catastrophic insurance is generally fine in case you get hit by a car or need an appendix removed.
deductibles are annual and do not count the payments.This year the penalty isn’t that high, but it’s going to go up 1% of income this year (410) next year is2%, then 2.5%.

Do you work for a company, self employed ?

Forgive my questions if they are dumb. I’ve never had to pay for insurance for anything. The catastrophic plans all say that doctors and meds have "no cost after deductible.". You are saying that my monthly payments don’t count towards that. It would take three years of payments to reach the deductible on the cheapest plans. I just don’t understand how I can "benefit" if I will never reach the deductible. I also don’t see how it would benefit me to pay 3k+ a year, only to save 50% on a 100 doctor visit.

I do work for a company, but my boss pays most people in cash. I’ve always been paid with a check.

How would the catastrophic plan benefit me if something horrible happened? The deductible is a few thousand. Wouldn’t I still have to pay out a lot?

I’ve even hear people say to change withholdings so you owe and then they can’t collect the $90 although I would pay it.

I don’t like the system we have atm cuz it’s not working as well as other countries with NHS-although you might find if we did do what other do, the actual taxes to pay for it would be more than 2-300 a month from many of us.

I looked at a website that has global health ins-so I could buy ins to cover me if I lived in, say Mexico or Costa Rica and it’s a better deal than what I will probably get with medicare one day.

I’m baffled how the USA ended up so messed up.

the only way to avoid paying the penalty is to be indigent (no income or below poverty level in a cocksucker GOP state that refused free medicaid). You can get a subsidy if you can hide income into offshore accounts (Romney could get a subsidy, for example).

I would not buy a "global" health insurance anything. go find a hospital that accepts that
Medicare is an exceptional deal, what are you talking about? They should have just expanded it with a contribution. But there’s no money in that.

The US got this way because we are controlled by corporations.

I appreciate your replies. The Obamacare reps told me that the first fee is $95 OR 1% of your income, whichever is higher. 1% of my income is $410. So wouldn’t my first fine be $410?

I have heard other people say to change my withholdings so that I don’t end up with a refund at the end of the year… but then won’t I end up with a fine that I need to pay in? (Even if my taxes were to magically break even and there’s no refund and nothing owed, can’t they charge me for Obamacare then?)

Are you able to explain to be how a deductible works on a catastrophic plan? Like I said, it would take 3 years of payments to reach the deductible. They also state that doctors and meds are "free after deductible." I assume this limit has to reset after a certain amount of time, correct? I can’t pay in for 3 years and then get free care for the rest of my life.

I thought it was whichever was less, and it’s based on taxable income. I’d ask an accountant. That’s another problem-insurance agents legally cannot consult on that part. So I can tell you what’s covered, but not for how much, or if you qualify for anything, etc. It’s stupid. And the navigators can, but they are not licensed in anything!

The deductible is the portion you are required to pay before you receive a benefit. The three year thing isn’t correct. Just because you meet your deductible doesn’t mean the health care is free for the insurance company. On a 100k bill, you would need to live for ~250 years for it to become profitable to the insurance company. You aren’t worth it, basically. if you think YOU are getting fucked, imagine the insurance company The short story is that health care is so obscenely expensive in America that it is impossible to pay for it without a national ponzie scheme, which is pretty much what insurance is. And, the Affordable Health Care act does nothing to make health care affordable.

That has always been the case with all insurance, even your car insurance. After you meet your deductible for the annual policy, then your coinsurance rate applies. for some it’s 100%, some 80%, and so on, depending on which plan you chose. Thanks to ACA, though, the max you ever have to pay is ~$6k a year. In the old system, you could have insurance an easily wind up bankrupt anyways.

it’s capped at 2% I think. But yea it will undoubtedly get higher.

You do qualify for a subsidy, but it’s going to only be a few dollars. 45900 is the max for single income

You have to make a choice. Pay a fine and risk no insurance in case something major happens, or budget room for insurance. The catastrophic insurance is generally fine in case you get hit by a car or need an appendix removed.
deductibles are annual and do not count the payments.This year the penalty isn’t that high, but it’s going to go up 1% of income this year (410) next year is2%, then 2.5%.

Do you work for a company, self employed ?

It’s 400% of FPL (pov level) for households with more than one taxable resident. I think it’s 250% for single taxpayer. There’s another threshold for deductible assistance too.

The "smart" choice is to buy insurance on your way to the hospital, since pre-existing conditions cannot be denied. It is just a matter of time (if not already happening) that hospitals just start signing people up at the door and make the first months payment for them, then bill the fuck out of the insurance company. Think about it. Guy comes in, heart attack, no insurance, no money. Hospital get’s stiffed out of $200,000 dollars. If the same guy comes in, and the hospital pays $300 out of their own pocket for insurance on the spot, then treats him, hospital makes $200,000 dollars. To that’s like, what, 1000000% return on their $300 investment? They’ll do it. System is toast.

I also don’t see how it would benefit me to pay 3k+ a year, only to save 50% on a 100 doctor visit.

How would the catastrophic plan benefit me if something horrible happened? The deductible is a few thousand. Wouldn’t I still have to pay out a lot?

There is no benefit to paying 3k a year to save $50 on a doctor visit. That’s why nobody signed up before, and they aren’t signing up now, either. You cannot be selfish and insured at the same time. That’s why car insurance is a law, or losers wouldn’t buy it and just crash into people and fuck them over.

On a catastrophic plan with 100% coverage after deductible, a sample case would be like this:
As you are now:
You have cancer. Treatment costs for a year are roughly $120,000 dollars. As you currently sit, you will owe the hospital 120,000 dollars. If you don’t pay, then they will come after you. You must declare bankruptcy, then they take your house, any assets you have, your cash, your cars (except one) and all your possessions (except one wedding ring if applicable). Then, they will sue your for the rest. You credit and your life is destroyed and you will never own anything again. Why? Because you got sick. Oh, and if you don’t pay up for that first year, you can just die from cancer if it’s not cured because they don’t have to provide you care, and they won’t, since you owe them money. The hospital destroys your life, and then you die of cancer, penniless and scared.

With a catastrophic plan:
You have cancer. The bill is $120,000. If your deductible is $2000, then all you have to pay anyone, ever, is $2000 bucks. The other 118,000 is paid for by insurance and it’s not your problem. Each year, the plan renews, and you can chose a higher or lower deductible and rate. If your cancer is cured, drop your rate down and pick a higher deductible. If your cancer is still active, shell out the extra $20 bucks a month and have a zero dollar deductible. We have a kid on the way, so I changed our plan to a Platinum plan with a $550 deductible The day before, I was paying ~$200 a month, and the baby would cost us $15,000 dollars. I switched plans, now I pay $268/mo, and that same baby now costs us $550 bucks. So I saved $14,500 dollars, and my rate only went up $60 bucks. And, I’ll change it back down after the kid is born…and there’s NOTHING that can stop me from doing it.

^^^and THAT…is exactly why this system will collapse.

ikt-I know the NHS systems struggle around the world but, do you see a better plan anywhere? I also see what we have now collapsing.

Depends on how long it takes for insurance to.become active. Typically, it only started on the 1st of the month.

Also, it’s the greater if the $90 or 1%
Also realize it’s adjusted gross income, ie the last line on the tax form.

Medicare is excellent. Britian’s NHS is much loved and solvent, so is Canada’s health system.

Okay, so I think I’d rather pay for the catastrophic plan, rather than a $410 fine. I don’t like how they are going off the $41,000 and not taking into consideration that I only keep about 66% of that, but that seems to be the case for everyone who bases a price or benefit based on one’s income.

It’s frustrating that I don’t know what to sign up for because NO ONE can tell me what’s covered – not even the people who work for the company. They have benefits charts online, but they are all very vague.

So if my deductible on a catastrophic plan were $6,000 and my monthly payment was $199, to me I see that as 30 months of payments. If I were in your example, am I waiting 30 months to benefit, or do I just pay the full $6,000 at once (if I wanted to), then get all the treatment I need since they supposedly can’t deny me?

Edit:
Won’t the deductibles on a catastrophic plan reset before I ever get the alleged free doctor visits?
Edit2:
I now understand that monthly premiums don’t count towards the deductible. So I will never reach it. I’ll have about $199 a month to pay just to have the insurance, and then a deductible to pay. Either way it’s like $6k a year and I don’t get anything for it. What is the premium going towards? I don’t understand why you could pay $199-$499 a month, and then still have a huge deductible just to get 50% off of meds or doctors. To whom and when would I pay the deductible? Any why would I pay this much to get nothing in return?

Example of one plan I’m looking at:

Monthly premium
$233.54/mo

Deductible
$6,350

Copayments / Coinsurance

$30 Primary doctor
No Charge After Deductible Specialist doctor
No Charge After Deductible Generic prescription

So if the $233 a month doesn’t count towards the deductible, why would I write out a $6350 check just to see a doctor?

Okay, so I think I’d rather pay for the catastrophic plan, rather than a $410 fine. I don’t like how they are going off the $41,000 and not taking into consideration that I only keep about 66% of that, but that seems to be the case for everyone who bases a price or benefit based on one’s income.

It’s frustrating that I don’t know what to sign up for because NO ONE can tell me what’s covered – not even the people who work for the company. They have benefits charts online, but they are all very vague.

So if my deductible on a catastrophic plan were $6,000 and my monthly payment was $199, to me I see that as 30 months of payments. If I were in your example, am I waiting 30 months to benefit, or do I just pay the full $6,000 at once (if I wanted to), then get all the treatment I need since they supposedly can’t deny me?

Edit:
Won’t the deductibles on a catastrophic plan reset before I ever get the alleged free doctor visits?
Edit2:
I now understand that monthly premiums don’t count towards the deductible. So I will never reach it. I’ll have about $199 a month to pay just to have the insurance, and then a deductible to pay. Either way it’s like $6k a year and I don’t get anything for it. What is the premium going towards? I don’t understand why you could pay $199-$499 a month, and then still have a huge deductible just to get 50% off of meds or doctors. To whom and when would I pay the deductible? Any why would I pay this much to get nothing in return?

Example of one plan I’m looking at:

Monthly premium
$233.54/mo

Deductible
$6,350

Copayments / Coinsurance

$30 Primary doctor
No Charge After Deductible Specialist doctor
No Charge After Deductible Generic prescription

So if the $233 a month doesn’t count towards the deductible, why would I write out a $6350 check just to see a doctor?

think of the premium as a membership fee. it means nothing else. you get 100% off meds and doctors after you meet the deductibe IF you meet the deductible. If you don’t get sick, then you are correct, you get nothing. This is INSURANCE- just like your car insurance. Nothing happens unless there is an accident.

in case of a "catastrophic injury", surgery, whatever, your max cost will be $6,000, regardess of the real cost.

doc visits cost you $30 bucks, unless you have already paid $6000 for year due to an injury, then it’s free as well.

I don’t have car insurance. I don’t drive. This is why I’ve been confused about how the insurance process works in general. You guys have definitely cleared up my misconceptions regarding premiums and have provided me with a much better understanding of what I get or don’t get. I appreciate that.

I suppose I just wish there was a solution to this situation that didn’t require me to add an extra expense. I also wish something could be done for people (including myself) whose bosses are getting out providing insurance for their employees.

I should have been approved for the hardship exemption, but again, they are avoiding getting back to me. If I hear nothing back by the end of the month I guess I’m either suffering a fine, or signing up.

There was supposed to be! Employers get help providing coverage if they opt in, too. Instead, they just started laying people off and cutting hours down and killing benefits, preferring their low paid workers to go the exchanges instead. It shifted their biggest expense (benefits) directly onto taxpayers.

Now, when the ACA was passed by the Supreme Court, it applied to all, including employers. Then Obama (somehow) allowed exemptions so that most employers don’t have to offer any benefits. In the end, private citizens got it applied to them, but employers got away free. It’s bullshit.

There was supposed to be! Employers get help providing coverage if they opt in, too. Instead, they just started laying people off and cutting hours down and killing benefits, preferring their low paid workers to go the exchanges instead. It shifted their biggest expense (benefits) directly onto taxpayers.

Now, when the ACA was passed by the Supreme Court, it applied to all, including employers. Then Obama (somehow) allowed exemptions so that most employers don’t have to offer any benefits. In the end, private citizens got it applied to them, but employers got away free. It’s bullshit.

Yup. Good help itt

Am I reading the newest thing right? No penalty for this year?

If you’re a business
Individual I think there still is
Brobama threw another curve ball today saying that now you can have a two year extension on non compliant existing plans. It’s bogus though because all the insurance companies already cancelled those plans since they were told they had to.

yeah, my insurance from last year never sent me a message that I could re-up the old plan. It’s long gone. And honestly, I can’t imagine many companies trying to revive plans that are dead in that short of a time period.

Did you just see this article too?

Doesn’t it look like it would apply to individuals as well?

Edit:

However it says, "The measure to delay the tax penalty passed by a vote of 250-160, with 27 Democrats joining with 223 Republicans to back the legislation. The bill is certain to go nowhere in the Democratic-controlled Senate and would face a White House veto even if it succeeded."

I think I’d watch it close cuz if they do allow a delay, then you have a lot more time to figure out what is best for you and figure how to afford it too.

it might happen if the numbers are still low, but a delay in enforcement really hurts the whole system. The plan NEEDS to have a ton of young, healthy people in it or the rates are going to jump dramatically.

They have fucked this up so bad.

The only reason for this is because of the 2016 elections. This way they don’t have to worry about "if you like you can keep it" attack ads.

Wouldn’t a system similar to Canada’s be more fair? My friends in Canada tell me that they pay about 13% sales tax, but health care is free. That way, everyone who buys anything, pays into it. I think I’d be fine with that.

yep, it sucks.

Going to have to start paying ~$300/mo for just the wife soon since she got a new job as an independent contractor.

And i’ll stay with my job’s shitty health savings account

Yes, but public support doesn’t dictate policy. This is what hospitals and insurance companies wanted, not people.

US Apr 9
Canada June 6

It’s far from free, and is more expensive than what we are paying.

Through the advice of the marketplace, they suggested I write the exemption center directly, which I did last week. I still haven’t received an answer.

Someone from The White House actually called me last week regarding what I submitted on their website. The only thing she suggested was to sign-up now before the site crashes from last minute sign-ups, and to then cancel if/when I receive my exemption certificate.

I assume this bill to delay the fine never went through correct? I don’t want to wait until the 31st to straighten everything out. If the fine is in fact delayed, I won’t be signing up for anything.

Edit:
No idea what’s going on.

Consideration of the House bill comes in the same week that The Wall Street Journal reported that the Obama administration has quietly decided to allow people not to buy insurance if newly available plans are too expensive. This exemption from the mandate would last for two years, until 2016.

Also:

That seven-page includes a paragraph and footnote that casually mention that a rule in a separate December 2013 bulletin would be extended for two more years, until 2016. Lo and behold, it turns out this , which was supposed to last for only a year, allows Americans whose coverage was cancelled to opt out of the mandate altogether.

If you can, file the short form. The IRS actually (I’m not kidding) forgot to put a line on it for Obamacare tax/fine. Your other option is to hike your number of deductions with your employer to insure you don’t get a refund, you owe money when you file. You can just leave that line blank on your 1040 full form. There is no penalty for ignoring the Obamacare tax as the Congress also forgot to put any enforcement mechanism for that into the Affordable Care Act law.

the 2014 form hasn’t been released, nor finalized. WTF are you talking about ?

Your other option is to hike your number of deductions with your employer to insure you don’t get a refund, you owe money when you file. You can just leave that line blank on your 1040 full form. There is no penalty for ignoring the Obamacare tax as the Congress also forgot to put any enforcement mechanism for that into the Affordable Care Act law.

It’s a tax, it can be enforced like any other tax.

I thought about this, but what’s stopping them from fining me the same way they would fine me for owing paycheck tax? They’d just mail be a bill with late fees.

Edit, off the government website:

What happens if I don’t pay the fee?

The IRS will hold back the amount of the fee from any future tax refunds. There are no liens, levies, or criminal penalties for failing to pay the fee.

I thought about this, but what’s stopping them from fining me the same way they would fine me for owing paycheck tax? They’d just mail be a bill with late fees.

Edit, off the government website:

What happens if I don’t pay the fee?

The IRS will hold back the amount of the fee from any future tax refunds. There are no liens, levies, or criminal penalties for failing to pay the fee.

yeah, individual mandate got partially lifted too. If your current coverage got cancelled, you don’t get fined for not buying new insurance.

I haven’t had any since 1998. My boss just started paying most people in cash to avoid the new company requirement.

So, I don’t know if I’m going to be fined or not.

i get paid in cash from an auto-shop. i’ve always reported income.
boss pays about 200 guys in cash. so with no one on payroll except the janitor and 1-2 decoys, he’s being illegally exempt from giving us insurance. is there anywhere to report that? what about ppl who are losing work insurance or having their hours cut?

i also tried for an exemption. it says they have until the end of this tax period to mail me a yes or no. BUT what if they say no? then i’ll get fined for not having insurance more than 3 months of 2014. shouldnt they have answers b4 march 31st?

i looked through the plans that i qualify for at about 35k. 179-250/month for the basic plans and 300+ for gold. question tho, i dont go to the doctor, and all of these have huge rates. should i just pay the fine? i’d never benefit and never reach the deductible.

i get paid in cash from an auto-shop. i’ve always reported income.
boss pays about 200 guys in cash. so with no one on payroll except the janitor and 1-2 decoys, he’s being illegally exempt from giving us insurance. is there anywhere to report that? what about ppl who are losing work insurance or having their hours cut?

i also tried for an exemption. it says they have until the end of this tax period to mail me a yes or no. BUT what if they say no? then i’ll get fined for not having insurance more than 3 months of 2014. shouldnt they have answers b4 march 31st?

i looked through the plans that i qualify for at about 35k. 179-250/month for the basic plans and 300+ for gold. question tho, i dont go to the doctor, and all of these have huge rates. should i just pay the fine? i’d never benefit and never reach the deductible.

well your boss is violating half a dozen laws easy, and fucking you over. I’d start by calling the labor board.

The fine for 3 months is like 8 bucks

correct, you wouldn’t benefit unless you get sick. just like car insurance, you get nothing unless you wreck your car.

there is nothing in the Affordable Care Act that would persuade anyone to buy coverage that didn’t want it beforehand, unless they couldn’t afford it.

I had expected actual health insurance. I’m writing an op-ed and I’m going to try to get it published in the times/WSJ

?

The insurance available through the exchanges is garbage and a giant waste of money.

They range from full coverage to bare bones, what were you expecting?

Something that was actually affordable. $142/mo after the subsidy for coverage with a $3,000 deductible is, for all intents and purposes, completely worthless. That’s like 8% of my takehome pay for insurance that will not provide any actual benefit and will just increase my healthcare costs by $1,700 a year.

and NY is one of the few states that are actually saving money because your insurance before was even more fucked up.

Exactly. That’s why I never had health insurance period. Nothing is covered. Only the higher plans that are over $250/month offer 50% off a few services after the deductible is met, which is still a joke. There’s no reason I’d ever meet the deductible, just to get $10 off my medicine.

The highest package I see shows the following:

Platinum Plan:
$442/Month
$999 Deductible

$10 Primary doctor
$25 Specialist doctor
$5 Generic prescription
85% off hospital stay

That’s still not coverage. I’d still be paying a lot more for everything.

As of right now, I still haven’t signed up for anything – not even the BS catastrophic plan.

Exactly. That’s why I never had health insurance period. Nothing is covered. Only the higher plans that are over $250/month offer 50% off a few services after the deductible is met, which is still a joke. There’s no reason I’d ever meet the deductible, just to get $10 off my medicine.

The highest package I see shows the following:

Platinum Plan:
$442/Month
$999 Deductible

$10 Primary doctor
$25 Specialist doctor
$5 Generic prescription
85% off hospital stay

That’s still not coverage. I’d still be paying a lot more for everything.

As of right now, I still haven’t signed up for anything – not even the BS catastrophic plan.

And you can’t use the tax credit for the catastrophic plan.

Platinum plans dont have a deductible (typically), are you sure you are reading it correctly? Even the gold plans dont have one

it’s the exact same thing as private health plans, are you kidding? The only reason to use an exchange is if you qualify for a subsidy. It’s the EXACT SAME plans.

Exactly. That’s why I never had health insurance period. Nothing is covered. Only the higher plans that are over $250/month offer 50% off a few services after the deductible is met, which is still a joke. There’s no reason I’d ever meet the deductible, just to get $10 off my medicine.

The highest package I see shows the following:

Platinum Plan:
$442/Month
$999 Deductible

$10 Primary doctor
$25 Specialist doctor
$5 Generic prescription
85% off hospital stay

That’s still not coverage. I’d still be paying a lot more for everything.

As of right now, I still haven’t signed up for anything – not even the BS catastrophic plan.

what would you call it? You want 100% coverage pick a 100% plan then.

I copied and pasted.

No. I want to continue to pay out of pocket, not pay thousands of dollars extra.

Every plan (even the cheapest ones) cost thousands more than my current medical expenses.

Well yeah, they are insurance in case of major medical issues. You pay a ton for car insurance and never use it. Same concept

I think the bottom line is just an answer that many don’t want to accept. You pay for it and get nothing unless something horrible happens. Yes it sucks that expenses are going up 5 fold for many, but if you want to avoid the law, you pay the fine. I’m still looking for a way out because of my boss’s illegal actions but I don’t even know where to start.

Which is exactly how all insurance works.

But don’t forget the second part: when something bad does happen, and you survive, you’re not plunged into bankruptcy and forfeit your life’s achievements so a hospital have another golden shark tank.

…under this system insurance companies still pay for the tank. But that’s a different issue.

I copied and pasted.

No. I want to continue to pay out of pocket, not pay thousands of dollars extra.

Every plan (even the cheapest ones) cost thousands more than my current medical expenses.

Okay you still can
If you get cancer then, break your foot, etc-will you be paying a $50-100k hospital bill out of pocket? Do you have that kind of money?

If you DO have that kind of money, do what the wealthy do: self insurance. You simply move part of your portfolio to a certified trust who’s purpose is to fund insurance expenses. This is what walmart does, for example. No insurance company could afford to insure walmart, so they self-insure. You may do the same. In most states, the threshold is rather low at $75,000.

Or is your plan to just not pay the bill?

The only way I can do that, without paying a penalty is to hide my income or lose my job. I suppose at my age, it’s hard to imagine being in an extremely life-threatening situation. My preferred outcome is to find something that would benefit me. Any of the plans that applies to me increases my expenses by a few hundred per month. (I know we are talking in circles here and I apologize).

Even if my employer were to provide insurance, he’s out an extra $200-$300 per month, and there’s still no benefit unless I first reach a huge deductible. Either way, someone is going to be paying over $3,000 per year just for the "benefit" of having an insurance plan I don’t want. I don’t mean to annoy or frustrate you, but this entire process hasn’t been easy for me either.

The last time I was in the hospital (2012, the only time in over 15 years), I was pretty much given 80% off because I didn’t have insurance. If I had insurance, it seems like only a certain percentage would have been covered, and I’d be responsible for the rest anyway.

IE:
The catastrophic plan says
"Hospital Stay: No charge after deductible." The deductible is $6,350.00 My last hospital visit was under $3,000 before I got the 80% off.

I copied and pasted.

No. I want to continue to pay out of pocket, not pay thousands of dollars extra.

Every plan (even the cheapest ones) cost thousands more than my current medical expenses.

I still haven’t paid the premium in my life to cover the single night I spent in the hospital 7 years ago. What you just said is spoken like someone who’s never seen real medical expenses.

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