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View Diary: Health insurance for free? Millions could qualify (36 comments)

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  •  Before you talk her into a bronze plan... (7+ / 0-)

    find out about Cost Sharing Reductions. This is only available for those who buy the SILVER plan and the buyer is at or below 250% of the Fed Poverty Level. This CSR helps lower the co pays, deductibles and total out of pocket charges.

    Not too much is being talked about this part of the ACA.
    Cost sharing reduction is NOT the same as the federal subsidies, it's in addition to them. They don't show up in the estimates shown on the websites.

    FORWARD! Obama/Biden 2012

    by Esjaydee on Mon Nov 04, 2013 at 02:53:37 PM PST

    [ Parent ]

    •  interesting information. i did the math and she (1+ / 0-)
      Recommended by:

      will probably be around 250%. What happens if she ends up a dollar above?

      •  this is a question I'm working on too. (2+ / 0-)
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        agent, pixxer

        I have an unpredictable income on a cusp like that, too, and I never know before December 31st if I'm going to be above or below one of those cutoffs where not only the premium assistance tax refund, but also the whole pricing structure changes.

        The short answer is, if you end up above your estimated income bracket, the tax refunds will be owed to the IRS at tax time. My impression is that if you're worried that will happen, you should say your income is likely to be above that cutoff, and then maybe you'll get a big refund most years.

        But exactly how that works when every copay is altered depending on your income level is not stated anywhere I can see. No doubt it's spelled out somewhere in the massive volumes of the ACA, but it's not on the websites for my state's exchanges.

        Cry, the beloved country, these things are not yet at an end.

        by rcbowman on Mon Nov 04, 2013 at 09:27:37 PM PST

        [ Parent ]

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