General Discussion
In reply to the discussion: If you start a thread poor-mouthing about how you just can't swing ACA... [View all]Ms. Toad
(38,683 posts)There are subsidies available both for premiums and for cost sharing. In the Medicaid range, and in the lower income end of the subsidy range (or for people with normal medical expenses) the cost sharing arrangement is reasonable. There might be a huge expense ($6250 without subsidy) once in a while. It would be really hard. But with careful management, people who don't qualify for much subsidy should be able to manage it once in a while.
It is the people who use tons of medical care every single year who will have to pay that much every single year for whom it will be unaffordable.
(For those with unexpanded Medicaid it will be significantly worse for anyone who is below the subsidy range - and who has chronic conditions. They will be paying the full unsubsidized premium (unmanageable all by itself at that income range) PLUS the full out of pocket cap every single year. That's about $10,000 a year for unsubsidized premium + unsubsidized medical expenses.)