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Sticker Shock Often Follows Insurance Cancellation
AP ^ | 11/2/13 | Kelli Kennedy

Posted on 11/02/2013 7:12:48 PM PDT by Lmo56

MIAMI (AP) -- Dean Griffin liked the health insurance he purchased for himself and his wife three years ago and thought he'd be able to keep the plan even after the federal Affordable Care Act took effect ...

The Griffins, who live near Philadelphia on the Delaware border, pay $770 monthly for their soon-to-be-terminated health care plan with a $2,500 deductible. The cheapest plan they found on their state insurance exchange was a so-called bronze plan charging a $1,275 monthly premium with deductibles totaling $12,700. It covers only providers in Pennsylvania, so the couple wouldn't be able to see the doctors in Delaware whom they've used for more than a decade.

"We're buying insurance that we will never use and can't possibly ever benefit from. We're basically passing on a benefit to other people who are not otherwise able to buy basic insurance," said Griffin, who is retired from running an information technology company ...

They can buy different policies directly from insurers for 2014 or sign up for plans on state insurance exchanges. While lower-income people could see lower costs because of government subsidies, many in the middle class may get rude awakenings when they access the websites and realize they'll have to pay significantly more.

Those not eligible for subsidies generally receive more comprehensive coverage than they had under their soon-to-be-canceled policies, but they'll have to pay a lot more.

Because of the higher cost, the Griffins are considering paying the federal penalty - about $100 or 1 percent of income next year - rather than buying health insurance. They say they are healthy and don't typically run up large health care costs. Dean Griffin said that will be cheaper because it's unlikely they will get past the nearly $13,000 deductible for the coverage to kick in.

(Excerpt) Read more at hosted.ap.org ...


TOPICS: Government
KEYWORDS: aca; buyersremorse; obamacare; obamadoesntcare; stickershock
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The dirty little secret is that subsidies DON'T kick in on a monthly basis - they are kicked back to you in the NEXT tax year.

So, for Ken Davis [mentioned in the article], his premimum WILL NOT be $600/month - but will be $1100/month for 2014 [which he can't afford]. He'll get $6000 kicked back to him as a refund after Jan. 1st 2015.

And, the possible pitfall is that when people receive thousands off dollars in a single check as a refund - they are gonna blow it all instead of banking it to pay for the next year's premium on a monthly basis ...

1 posted on 11/02/2013 7:12:48 PM PDT by Lmo56
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To: Lmo56

That is incorrect

The subsidy (aka your and my tax money) is sent to the insurance company and the insured person only pays the difference.

http://www.csmonitor.com/USA/DC-Decoder/2013/1001/Obamacare-101-how-the-federal-subsidy-works-video


2 posted on 11/02/2013 7:14:17 PM PDT by nascarnation (Frequently wrong but rarely in doubt....)
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To: Lmo56

A Plan to destroy American Healthcare, demoralize
doctors and bioengineers, and to put computers
and criminal illegals (Peru and other countries)
in charge of fleecing $$$$$ from sick Americans.

And... it was spawned in a US prison, and was never
even read by Congress.

WHAT COULD POSSIBLY GO WRONG?


3 posted on 11/02/2013 7:15:30 PM PDT by Diogenesis
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To: Lmo56

Had the Associated “Press” been doing their job this nightmare would never have become law.


4 posted on 11/02/2013 7:22:04 PM PDT by Thom Pain (U.S. Constitution is a CONTRACT! : $70 TRILLION unfunded...)
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To: Lmo56

Merry Christmas from your friendly Federal Government.


5 posted on 11/02/2013 7:22:21 PM PDT by FlingWingFlyer (All your health decisions should be between a provider bean counter and the IRS - Obama)
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To: nascarnation

There are 2 ways to get the subsidy - sent to your insurance company ahead of time OR in your refund.

You are playing with fire if you have it sent to your insurance company. Read the following carefully:

http://healthinsurance.about.com/od/reform/a/How-Does-The-Premium-Tax-Credit-Health-Insurance-Subsidy-Work.htm


6 posted on 11/02/2013 7:27:39 PM PDT by Lmo56 (If ya wanna run with the big dawgs - ya gotta learn to piss in the tall grass ...)
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To: Lmo56

I’ll wager you that 95% plus will take the subsidy up front.


7 posted on 11/02/2013 7:30:14 PM PDT by nascarnation (Frequently wrong but rarely in doubt....)
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To: nascarnation

If those people take the subsidy upfront, work by the hour, and get more overtime going over the 400% FPL [due to less people being hired], they are screwed ...


8 posted on 11/02/2013 7:33:56 PM PDT by Lmo56 (If ya wanna run with the big dawgs - ya gotta learn to piss in the tall grass ...)
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To: Lmo56

You’re using information and logic, items not often prevalent in the “subsidy” population....


9 posted on 11/02/2013 7:35:46 PM PDT by nascarnation (Frequently wrong but rarely in doubt....)
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To: Lmo56
You are wrong on your post.
The “tax credit” is “prefunded” based on income projections and predictions.
The entire point of the goofy “online exchange” is to get income figures first, and then “prefund” the credits.
I am a certified ACA agent, but I am trying hard not to sell very man of these things.
10 posted on 11/02/2013 7:41:13 PM PDT by Kansas58
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Comment #11 Removed by Moderator

To: Lmo56
Actually, you can only GET the credit, under current regs, if you use the online system, or “exchange”.
You can buy the exact same policy “off exchange” but you will not receive any credit, under current regs, if you buy the same policy “off exchange”.
12 posted on 11/02/2013 7:43:13 PM PDT by Kansas58
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To: Kansas58

Thanks for your post confirming what I posted.

I have seen this misrepresented dozens of times on FR and try to correct it when I see it.

Outrage against Obamacare is one thing, but we need to try and maintain accuracy.


13 posted on 11/02/2013 7:44:39 PM PDT by nascarnation (Frequently wrong but rarely in doubt....)
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To: Lmo56
I am an agent.
I have asked if my “malpractice” or Errors and Omissions insurance will cover me, if I get sued by some idiot who gives me bad income figures or someone who gets married/divorced, wins the lottery, gets a raise, gets a new job etc.
They will “claw back” any prefunded credit or subsidy at tax time, if you do not deserve it under Obamacare rules.
14 posted on 11/02/2013 7:45:19 PM PDT by Kansas58
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To: Lmo56
RE :”Because of the higher cost, the Griffins are considering paying the federal penalty - about $100 or 1 percent of income next year - rather than buying health insurance. “

For the tax to be ~ $100 they would be making $10,000 or less per year. If they make $50K its $500 and if making $100K its $1000.

Still cheap compared to Obamacare.

The Good news is the IRS is not allowed to punish us for not paying the tax. Little they can do,

Resist, don't comply

15 posted on 11/02/2013 7:59:20 PM PDT by sickoflibs (To GOP : Any path to US Citizenship IS putting them ahead in line. Stop lying about your position)
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To: Lmo56

That’s interesting, I never heard that.

That would cause big problems.


16 posted on 11/02/2013 8:00:12 PM PDT by sickoflibs (To GOP : Any path to US Citizenship IS putting them ahead in line. Stop lying about your position)
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To: Thom Pain

Your not kidding. I have come to realize that I don’t despise Obama as much as I do the press that did not do it’s job when the time was right. Obama would never have been nominated but for a compliant press.


17 posted on 11/02/2013 8:08:14 PM PDT by BBell (The Blue Dog is Stupid)
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To: nascarnation
I'm not going to bet about imaginary percentages.

What I do want everyone to think carefully about is what happens in 2015 (but only after the 2014 elections).
When the people who are currently covered under an employer based plan, also get a taste of the new rate sticker shock, but are ineligible for any tax subsidies, no matter their income level, if they elect to decline their employers plan.

The goal of the Feds and the holy grail to Democrats is a “single payer” system.
Full blown, low quality, government approved, free medical care for everyone except government employees.
“They” will get special doctors and hospital care unavailable to the masses, because they are vital to the nation.

I believe I have gleaned that the targeted tax goal is an additional 20% on every nongovernmental employee.
Got a paycheck?
Hand it over.The Feds and Democrats will decide how much you deserve to get back, and are allowed to live on.

This includes all the deluded minimum wage unskilled workers who think the greedy rich people and businesses are evil and cheating them out of what they deserve.

18 posted on 11/02/2013 8:09:05 PM PDT by sarasmom (Extortion 17. A large number of Navy SEALs died on that mission. Ask why.)
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To: KANSAS; nascarnation
Thanks for your post confirming what I posted.

I have seen this misrepresented dozens of times on FR and try to correct it when I see it.

Outrage against Obamacare is one thing, but we need to try and maintain accuracy.

GEE - I guess I, too, should get certified BEFORE reading the IRS Regs:

From:

http://www.irs.gov/uac/The-Premium-Tax-Credit

***** Getting the Credit

To qualify for the credit, you must get insurance through the Marketplace.

During enrollment through the Marketplace, using information you provide about your projected income and family composition for 2014, the Marketplace will estimate the amount of the Premium Tax Credit you will be able to claim for the 2014 tax year that you will file in 2015.

You will then decide whether you want to have all, some or none of your estimated credit paid in advance directly to your insurance company.

Change in Circumstances

Report income and family size changes to the Marketplace throughout the year. Reporting changes will help make sure you get the proper type and amount of financial assistance and will help you avoid getting too much or too little in advance. Receiving too much or too little in advance can affect your refund or balance due when you file your 2014 tax return in 2015.

For example, if you do not report income or family size changes to the Marketplace when they happen in 2014, the advance payments may not match your actual qualified credit amount on your federal tax return that you will file in 2015. This might result in a smaller refund or balance due.

Claiming the Credit on Your Federal Tax Return

For any tax year, if you receive advance credit payments in any amount or if you plan to claim the premium tax credit, you must file a federal income tax return for that year.

If you choose to get it now: When you file your 2014 tax return in 2015, you will subtract the total advance payments you received during the year from the amount of the Premium Tax Credit calculated on your tax return. If the Premium Tax Credit computed on the return is more than the advance payments made on your behalf during the year, the difference will increase your refund or lower the amount of tax you owe. If the advance credit payments are more than the Premium Tax Credit, the difference will increase the amount you owe and result in either a smaller refund or a balance due.

If you choose to get it later: You will claim the full amount of the Premium Tax Credit when you file your 2014 tax return in 2015. This will either increase your refund or lower your balance due.

More Information

More detailed information about the credit is available in our Questions and Answers.

In addition, the Department of the Treasury and the IRS issued the following legal guidance related to the Premium Tax Credit:

•Final regulations on the rules for individuals who enroll in qualified health plans through Marketplaces and claim the Premium Tax Credit.

•Final regulations on the Premium Tax Credit affordability test for related individuals.

•Proposed regulations on determining minimum value of eligible employer-sponsored plans and other rules regarding the Premium Tax Credit.

•Notice 2013-41 on determining whether or when individuals are considered eligible for coverage under certain Medicaid, Medicare, CHIP, TRICARE, student health or state high risk pool programs.

An electronic flyer entitled "Facts about the Premium Tax Credit" (Publication 5120) is available for public use and distribution.

19 posted on 11/02/2013 8:14:51 PM PDT by Lmo56 (If ya wanna run with the big dawgs - ya gotta learn to piss in the tall grass ...)
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To: Kansas58

Check Post #19 - didn’t get your nick correct ...


20 posted on 11/02/2013 8:18:03 PM PDT by Lmo56 (If ya wanna run with the big dawgs - ya gotta learn to piss in the tall grass ...)
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