General Discussion

pnwmom

(110,263 posts)

57. What claim of mine did you correct?

Mon Jul 15, 2013, 09:16 PM

Jul 2013

http://101.communitycatalyst.org/aca_provisions/subsidies

Under the Affordable Care Act (ACA), individuals who purchase insurance after January 1, 2014 through an Exchange will be eligible for subsidies for health insurance premiums and cost-sharing if their income is less than 400 percent of the federal poverty level (FPL) -- $89,000 for a family of four in 2011. FPL amounts are updated annually to reflect inflation. Individuals who get insurance through their employer can get subsidized coverage in an Exchange if their premiums are unaffordable (more than 9.5 percent of their household income) or the plan is inadequate (pays less than 60 percent of the cost of covered benefits).

The ACA provides two forms of subsidies to help pay for health insurance. First, a monthly premium assistance tax credit will lower the premium amount an individual or family must pay. Second, cost-sharing assistance will limit a person's maximum out-of-pocket costs, and for some it will also reduce other cost-sharing requirements (i.e., deductibles, coinsurance, co-payments).

Premium Assistance Subsidies
The premium assistance subsidy reduces the amount that an individual or family pays for health insurance coverage by providing a tax credit. These subsidies are only available through the Exchange. Subsidies are determined on a sliding scale, based on income, so that individuals at the lower end of the income scale get the most help. The subsidy is based on the premium for a benchmark plan (the second lowest cost silver plan available in an Exchange). An individual or family who wants a more expensive or higher tier plan (i.e., gold or platinum) must pay the difference.
Premium Limits for Consumers Based on Income
Income Premium Limit
Up to 133% FPL 2% of income
133 - 150% FPL 3 - 4% of income
150 - 200% FPL 4 - 6.3% of income
200 - 250% FPL 6.3 - 8.05% of income
250 - 300% FPL 8.05 - 9.5% of income
350 - 400% FPL 9.5% of income

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So what good is ACA afterall, if it gets delayed years and years?? [View all] darkangel218 Jul 2013 OP

i think he'll try get it through, otherwise he'll have no legacy. allin99 Jul 2013 #1

Tell that to all of the young adults who now are able to stay on their parents' insurance Freddie Stubbs Jul 2013 #2

There are alot more Anericans than the 21 to 26 crowd. darkangel218 Jul 2013 #4

jesus H. christ. n/t Whisp Jul 2013 #6

lol, as a former nurse you should know lack of health insurence can destroy lives darkangel218 Jul 2013 #10

you make no sense, whose the former nurse? Whisp Jul 2013 #12

I thought you said you used to be a nurse? darkangel218 Jul 2013 #18

you thought wrong. Whisp Jul 2013 #21

Those are pretty low expectations considering Democrats gave up the House for the ACA Hippo_Tron Jul 2013 #64

"IT" didn't get delayed years and years. Atman Jul 2013 #3

Umm, actually it did. darkangel218 Jul 2013 #8

Umm, actually it didn't. Atman Jul 2013 #14

Oh really, nothing changes??! darkangel218 Jul 2013 #19

You seem to be short on facts. Atman Jul 2013 #38

It hasn't been delayed till 2015. The health exchanges will be available in Jan. 2014. pnwmom Jul 2013 #25

Individual plans will be hell of expensive, and probably unafordable for most. darkangel218 Jul 2013 #27

That's NOT true. There will be insurance subsidies paid for by the government pnwmom Jul 2013 #34

I know for a fact my friend wont be able to afford it on her own. darkangel218 Jul 2013 #35

Once again, UNTRUE, darkangel. Simply untrue. Atman Jul 2013 #39

Caps and petsonal attacks. darkangel218 Jul 2013 #40

I haven't changed much? What? Atman Jul 2013 #41

Take it easy and enjoy your evening. darkangel218 Jul 2013 #42

wtf are you talking about, this 'never' thing. Whisp Jul 2013 #5

Such as? darkangel218 Jul 2013 #9

Yet, they already ARE providing health care to 90% of their employees. Atman Jul 2013 #15

Ohh i have an "agenda"! darkangel218 Jul 2013 #17

I'm not sure I understand your 90% figure. area51 Jul 2013 #68

90% of the companies affected by the delay. Atman Jul 2013 #69

Many but not all. Why are you okay with ACA being delayed?? darkangel218 Jul 2013 #20

yeh, that's it exactly. Whisp Jul 2013 #23

It must be, since you resort on putting words in another poster's mouth just to make your point. darkangel218 Jul 2013 #24

Everyone will be able to get coverage as of January 2014, pnwmom Jul 2013 #26

And how many employers offer health insurence to their employees willingly?? darkangel218 Jul 2013 #28

If they don't, employees will be able to choose from a range of policies pnwmom Jul 2013 #31

Which planet did you just fly in from? Atman Jul 2013 #46

This is ABSOLUTELY incorrect. Le Taz Hot Jul 2013 #44

I know that my 26 year old grad student son is having to pay $500 per month pnwmom Jul 2013 #48

Well, Le Taz Hot Jul 2013 #49

I said that if $500 per month per middle age adult wasn't affordable, pnwmom Jul 2013 #50

Actually, Le Taz Hot Jul 2013 #52

You have to understand -- I support Medicare for all. But I don't see why anyone pnwmom Jul 2013 #53

I don't recall "blaming" anyone. Le Taz Hot Jul 2013 #54

What claim of mine did you correct? pnwmom Jul 2013 #57

I provided the link upthread Le Taz Hot Jul 2013 #59

Right. You didn't correct anything I said, because I didn't make a factual error. n/t pnwmom Jul 2013 #60

The bronze plans are more expensive to use though, because they cover less... Humanist_Activist Jul 2013 #56

They also reduce the costs because providers charge more to people pnwmom Jul 2013 #58

The point is that, even after insurance is calculated in, the out of pocket costs will still be... Humanist_Activist Jul 2013 #63

Apparently you forgot to look at the benefits page. bornskeptic Jul 2013 #66

Apparently, I didn't Le Taz Hot Jul 2013 #67

actually, that's debatable cali Jul 2013 #70

Similar reason the Stamp Act of 1765 should have been delayed. ieoeja Jul 2013 #37

The vast majority of it is going forward. Derp. nt geek tragedy Jul 2013 #7

Gee, if only someone had pointed out this inevitability before... Egalitarian Thug Jul 2013 #11

The ACA allows the PTB and their shills to say "see, government healthcare doesn't work". Scuba Jul 2013 #13

Also prevents Docs and Hospitals from finding solutions leftstreet Jul 2013 #32

Another good, yet usually ignored point. Jamming everybody into the one size fits none Egalitarian Thug Jul 2013 #55

Neither of my grown sons have health insurance. LWolf Jul 2013 #16

It sounds like your son hasn't gone onto the site and figured out how much pnwmom Jul 2013 #29

I have an issue with the subsidies, I don't know if I can apply, or if I even qualify... Humanist_Activist Jul 2013 #62

You're asking a good question. There are lots of quirks in the law that under normal circumstances pnwmom Jul 2013 #65

No, he quoted me exactly what he'd have to pay. LWolf Jul 2013 #71

So he told you the price for each of the three levels of premiums? n/t pnwmom Jul 2013 #72

He quoted me the price for the LWolf Jul 2013 #73

Subsidies will go down as income goes up, but they apply to incomes pnwmom Jul 2013 #74

Yes. LWolf Jul 2013 #75

ACA delay = Corporate will/win. darkangel218 Jul 2013 #22

After larger corporations and labor unions Riftaxe Jul 2013 #30

Also, what good does it do to expand Medicaid if states can opt out? Jamastiene Jul 2013 #33

Congress did not know that would happen. Unfortunately, there was a lawsuit pnwmom Jul 2013 #36

Pure BS. Everything that has happened and much more that is still to come Egalitarian Thug Jul 2013 #45

Your post is pure BS. You're pretending that Medicare for all or the equivalent pnwmom Jul 2013 #47

Blah, blah, blah. Nothing but the same lies you unwavering proponents of blue uber alles Egalitarian Thug Jul 2013 #51

Everything is ok! No problems. Don't worry.... Safetykitten Jul 2013 #43

K&R Hey, at least he's consistent when it comes to keeping his word on things! forestpath Jul 2013 #61