Howdy, Stranger!

It looks like you're new here. If you want to get involved, click one of these buttons!

In this Discussion

  • Dex November 2015
  • msf November 2015
Here's a statement of the obvious: The opinions expressed here are those of the participants, not those of the Mutual Fund Observer. We cannot vouch for the accuracy or appropriateness of any of it, though we do encourage civility and good humor.

    Support MFO

  • Donate through PayPal

Wonderful Affordable Obamacare ...

Dex
edited November 2015 in Off-Topic
BCBS of GA. updated their site for the November sign up.
Single male, 60, income $38,500 - $346 subsidy - cost $222/mo.
I don't like the deductible amount. But there is the potential to change to a lower deductible plan. If I get really sick next year, I pay the $5,500 deductible. The question I would have to answer next Nov. do I think it is better to go with a higher or lower deductible plan in '17

How can you not love Obamacare. When I look at my net worth and see I'm getting $4,152 it is wack! I worked all my life and never even collected unemployment insurance.

I may look at delaying taking SS until 65 because of this. I was thinking of starting it at 63.5

However, if I sell my home and invest the money I'll be out of the subsidy business.

Thank all you younger people subsidizing senior citizens with your higher premiums. Also, a big thanks to China and others who buy the USA's debt. They are the real people subsidizing OC.

I hope this debt bubble doesn't burst for another 30 years - I think I will slip these mortal ties by then.


Deductible (s) Open Tool Tip $5,500 Max out of pocket 6,850
Primary Care Visit to Treat an Injury or Illness Open Tool Tip You pay $50.00 - not subject to deductible, for the first 2 visits.For additional visits you pay 40% after deductible
Out of Pocket Max Open Tool Tip $6,850 (includes deductible)
Blue Card (Out Of Area) Open Tool Tip Not Included
Specialist Visit Open Tool Tip You pay $75.00 - not subject to deductible, for the first 2 visits.For additional visits you pay 40% after deductible
Most Generic Drugs (Tier 1) Open Tool Tip 30 day Retail: You Pay 40% after deductible; 90 day Mail Order: You Pay 40% after deductible

Comments

  • Dex
    edited November 2015
    error
  • This is the BCBS Bronze Pathway X HMO 5500 40 (the 5500 referring to the deductible, the 40 referring to the coinsurance of 40%).

    Are you sure about subsidy/premium figures? They look backward to me. I looked in Atlanta, and got your numbers almost exactly, except that the subsidy was $224 and the premium after subsidy was $344.

    You may be picking one of the more expensive bronze plans. For example, the Kaiser 6000/40%/HSA plan would cost $40 less and possibly also get you larger subsidies because of the HSA component. Here's a more detailed comparison to see how much you could save with the Kaiser plan:

    BC gives you two doctor visits (at $50 or $75 copay) before the deductible kicks in, but negotiated doctor visit costs typically are in the ballpark of $200, so you'd only be saving, say $300 on those visits (if you make them), vs. a sure premium savings of $480.

    Both plans charge 40% coinsurance after meeting the deductible - no difference on the coinsurance rates.

    The Kaiser plan has a $500 higher deductible, but the HSA more than makes up for that. Figuring that you're in the 15% tax bracket, and you contribute the max ($4350) to the HSA, you get a tax break of about $650. So you net at least $150 including the higher deductible. And if you don't incur $6K in medical expenses, you could save even more, as much as the full $650.

    I haven't even counted the 6% state tax savings on the HSA contributions.

    Then there is the reduction in MAGI. HSAs get taken off the top, i.e. they are not included in AGI or MAGI. Try running the numbers with that reduction in income.

    You can stick with a for profit insurer that's out to make as much profit as it can (and raised its rates 16.4% this year), or you can go with a well regarded nonprofit that raised its rates 2.7% in your state. Or one of several other policies.
  • Dex
    edited November 2015
    msf said:

    This is the BCBS Bronze Pathway X HMO 5500 40 (the 5500 referring to the deductible, the 40 referring to the coinsurance of 40%).

    Are you sure about subsidy/premium figures? They look backward to me. I looked in Atlanta, and got your numbers almost exactly, except that the subsidy was $224 and the premium after subsidy was $344.

    HSA - don't you have to be working to do those? I'm not working.

    Are you trying to drive me crazy?

    BCBSHP Bronze Pathway X HMO 5500/40%
    Market Product Credit Tax Applied


    $222.80 / mo
    Tax credit applied
  • msf said:


    You may be picking one of the more expensive bronze plans. For example, the Kaiser 6000/40%/HSA plan would cost $40 less and possibly also get you larger subsidies because of the HSA component. Here's a more detailed comparison to see how much you could save with the Kaiser plan:

    BC gives you two doctor visits (at $50 or $75 copay) before the deductible kicks in, but negotiated doctor visit costs typically are in the ballpark of $200, so you'd only be saving, say $300 on those visits (if you make them), vs. a sure premium savings of $480.

    Thanks - I'll look into the Kaiser. I've only had BCBS. My only concern would be if my Dr is in the Kaiser plan.

    As to the Dr. visits - 1 wellness dr visit per year is covered in full under Oc. I had one last year and don't plan on doing it next year. The dr visits aren't a driving factor.
  • No you do not have to be working.

    Okay, I adjusted by using Cobb county - a discount of $345.32, and a plan cost of $222.80. Same premium difference between the plans - $40 less for Kaiser.

    Kaiser is a true, traditional HMO - it uses its own doctors, so that can be an issue.

Sign In or Register to comment.