Single Payer Health Systems
In reply to the discussion: Just checked my new ACA rates [View all]VMA131Marine
(4,650 posts)What's the deductible on the new plan?
What's the max-out-of-pocket limit on the new plan?
Did you spend more than the deductible on health care this year?
Did you exceed the max-out-of-pocket limit this year?
If your only interaction with the health care system every year is routine check ups then a silver plan is probably more than you need. But if you hit the max-out-of-pocket then the plan, as expensive as it is, is still saving you money overall - a lot of money actually. As I said in my first response, the total cost of my employer provided insurance, i.e. the employer and employee funded contributions together is about $200 more than you are paying for a $3,000 deductible and a $7,000 out-of-pocket limit, so the price for 2016 isn't out of line with the rest of the market. I did see a much smaller increase in 2016 premiums than you so you actually paid a lot less for insurance this year than I (and my employer) did.
I'm not arguing that the ACA is perfect, far from it. Just that your current premium doesn't seem to be greatly out of line considering your income and there are ways to lower it if you are not currently spending close to the deductible or OOP limits. The one thing you don't know is what your premium would be without the ACA. Do you or any of the other members of your family have conditions that would preclude them from getting insurance at all? Would your college age kids be able to afford insurance if they couldn't stay on your plan? It's only when those questions are answered that it would be clear whether ACA is working for you or not (and, to be honest, ACA wasn't really designed to help people with your (and my) income levels).