Affordable Care Act Scene 2 - Insurance Premiums

<p>argbargy, Switzerland and the Netherlands have insurance-based universal coverage. That doesn’t mean that the current implementation of the ACA will work here, but it is a proof of concept.</p>

<p>texaspg, babies can’t buy health insurance, and their parents can’t buy it for them, so I assume that young parents whose own parents have employment-based insurance have to buy unsubsidized insurance for themselves and their children. Or maybe parents on their parents’ plans and kids on SCIP?</p>

<p>Covering a kid under 26 on a parent’s plan is optional. If it is against your principles or you have other reasons your kid does not have to go on your plan. </p>

<p>A large segment of the uninsured youth can be covered for $50 a month.
A large segment of uninsured youth can be covered for $100 a month. </p>

<p>I think $50 a month is less than I paid 35 years ago. </p>

<p>I thought calmom covered subsidies you those under 26.</p>

<p>It is interesting to hear how people handle these things. Our kids have no idea they have trusts and won’t have access til they are 35. </p>

<p>We will sit down with them a year ahead of time to explain how it works, that it is tied to charitable giving on their part, etc. </p>

<p>In the meantime, the more they can figure out on their own the better in our opinion.</p>

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<p>I’d love to see a CC survey on how many parents have kept their kids on their cell phone plans after college. I’ll bet more have than we’d think.</p>

<p>But now we’re hearing that under-26s who could get on their parents’ plan are ineligible for subsidies.</p>

<p>The cell phone thing is complicated because of the family plans. Being on the plan together doesn’t mean the kids don’t pay. My cell phone bill comes with each person’s charges shown separately under their own names. Phone carrier doesn’t care how many separate checks they get as long as the bill is paid in full each month. </p>

<p>I suppose the exchanges will create similar incentives – there may be cases where the family qualifies for subsidies while they keep the adult kid on the plan, but loses that eligibility when they drop the kid. On the other hand, you could have a situation where the kids’ income is the tipping point that prevents the family from qualifying subsidies, and they all do better buying insurance on their own.</p>

<p>CF – “hearing”? From whom? Eligibility for subsidies is set forth in 26 USC 36B (law) and 26 CFR 1.36B-2 (regulations).</p>

<p>I did a quick Google search on this. If the 26 year old is claimed as a dependent on the parents tax returns, they wouldn’t be eligible for the subsidy.</p>

<p>[President</a> calls ObamaCare coverage a ?good investment for young people? - The Hill’s Healthwatch](<a href=“http://thehill.com/blogs/healthwatch/health-reform-implementation/331029-hhs-touts-low-prices-for-young-people-under-obamacare]President”>http://thehill.com/blogs/healthwatch/health-reform-implementation/331029-hhs-touts-low-prices-for-young-people-under-obamacare)</p>

<p>According to this, people under 26 should be able to get insurance for like 50dollars a month.</p>

<p>I would encourage my kid to do this if they could.</p>

<p>It sounds like the right price.</p>

<p>If I have a kid that is going to school and another kid eligible for medicaid, financially, they should be off my plan, right? Actually, doesnt the kid who goes to school qualify for medicaid in many states?</p>

<p>TatinG is right – the issue would be whether the adult child is claimed as a dependent on the parent’s tax forms. </p>

<p>In general a person who is claimed as someone else’s dependent would not qualify for subsidies, no matter what the relationship.</p>

<p>Obama has made that point, dstark.</p>

<p>But, if the kids can get insurance for fifty a month with a subsidy, a lot of this out of state adult kids issue can be mitigated for those whose plans have no out of network coverage.</p>

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I think that also comes down to whether the kid is your dependent.</p>

<p>If the employer doesn’t cover dependents, those dependents don’t get subsidies either. It’s called the family gap. </p>

<p>Am I recalling this correctly?</p>

<p>Calmom, thanks. One of my kids doesnt let me use him/her as a dependent. Maybe, I can get some money back with healthcare. </p>

<p>How are the schools going to handle insurance?</p>

<p>

If the dependents are ineligible to enroll in the employer plan, then as a group they can apply for insurance on the exchange, with the determination based on overall household size and income. That’s not the same as a situation where the spouse and dependents can enroll, but are not subsidized by the employer. </p>

<p>So let’s say that W. has employer provided insurance, but for some reason H & D and S are not eligible to enroll. Then H, D, & S apply for on the exchange for the 3 of them, but they report income as a household of 4, including W’s income. If that income makes them subsidy eligible, I think they would then qualify.</p>

<p>It’s a hard example because I think that in most cases, employer-provided coverage is also available to the employee’s dependent children.</p>

<p>“In general a person who is claimed as someone else’s dependent would not qualify for subsidies, no matter what the relationship.”</p>

<p>I don’t know what the percentage of adult children that can claimed as dependents, but it has to be pretty insignificant. </p>

<p>You must be able to answer “yes” to this question (among others) to claim a child as a dependent:</p>

<p>“Do they meet the age requirement? Your child must be under age 19 or, if a full-time student, under age 24. There is no age limit if your child is permanently and totally disabled.”</p>

<p><a href=“https://turbotax.intuit.com/tax-tools/tax-tips/Family/Rules-for-Claiming-a-Dependent-on-Your-Tax-Return/INF12139.html[/url]”>https://turbotax.intuit.com/tax-tools/tax-tips/Family/Rules-for-Claiming-a-Dependent-on-Your-Tax-Return/INF12139.html&lt;/a&gt;&lt;/p&gt;

<p>One reason to keep your kid on your family plan and as a dependent on your tax return is to increase your family size, making it easier to qualify for subsidies. I am assuming you are allowed to do this.</p>

<p>Calmom, I have a friendly question. I think you said somewhere on this thread that you live in the bay area of Ca. How are you able to afford to live there if your income is around 400% of poverty. This region may have the highest cost of living in the country. I would think it would be extremely difficult, particularly with these very high premiums, unless you have significant savings.</p>

<p>dstark, you’re welcome. </p>

<p>Here is the law re coverage up to age 26:</p>

<p>"What plans are required to extend dependent coverage up to age 26?</p>

<p>The Affordable Care Act requires plans and issuers that offer dependent coverage to make the coverage available until a child reaches the age of 26. Both married and unmarried children qualify for this coverage. This rule applies to all plans in the individual market and to new employer plans. It also applies to existing employer plans unless the adult child has another offer of employer-based coverage (such as through his or her job). Beginning in 2014, children up to age 26 can stay on their parent’s employer plan even if they have another offer of coverage through an employer."</p>

<p><a href=“http://www.dol.gov/ebsa/faqs/faq-dependentcoverage.html[/url]”>http://www.dol.gov/ebsa/faqs/faq-dependentcoverage.html&lt;/a&gt;&lt;/p&gt;

<p>** Moderator’s Note</p>

<p>If you want the thread to stay open, please refrain from making digs at each other or from pushing whatever agendas you want to promote. Whether you like your puppy, baby or ACA or hate your puppy, baby or ACA is immaterial. **</p>