Affordable Care Act Scene 2 - Insurance Premiums

<p>We will count the numbers as published by Covered Ca, whatever they are. Again, they are enrolled by March 31 with a paid premium by May 1.</p>

<p>“What is far lower?” One less! If I am going to have genuflect on this thread with an abject apology, then it is going to be a straight up over/under 500,000 bet.</p>

<p>They will release how many Covered Ca. people paid for insurance. If you don’t pay, then you are ultimately not enrolled.</p>

<p>Ok… I really want to get this done. </p>

<p>I will bet you on the 500,000 paid people but…covered ca is not going to release those numbers.</p>

<p>Next year, my D may be quitting her job that includes employer coverage, to go to grad school in the fall. Is she immediately eligible for Medicaid when she quits?</p>

<p>Ok… We have a bet at 500,000… GP.</p>

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<p>That seems fair. If the bet is 500,000, and the actual is 499,999, you get to crow.</p>

<p>If we’re doing paid plans, I’ll withhold my bet until someone can link me to where anyone is releasing those numbers.</p>

<p>Okay, we’re on. Start rehearsing your apology.</p>

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<p>She is eligible for Medicaid if she will earn less than $11,490 for the whole year and she lives in an expansion state. If she has a yearly income greater than that, she will need to buy insurance, and if her yearly income is less than $45,960 she will be eligible for premium subsidies.</p>

<p>If she will earn less than 100% of the federal poverty level in 2015 and lives in an expansion state, she will be eligible for Medicaid starting in January 2015. 100% of the federal poverty level for 2015 will be a little more than $11,500, probably.</p>

<p>They will have to release those numbers. If you don’t pay, you will not have a plan.</p>

<p>GP… . :).</p>

<p>You dont want to bet on the signees? It would be a higher number
So my kids dont have a plan because I pay?</p>

<p>As I said, GP, I will withhold until I know that those numbers are released (as in, I can see THEM and not speculation)</p>

<p>Thanks, CF. I’m going to guess that she will be in the subsidy range of income by the time she quits. So she will have to buy subsidized coverage then, even though she will no longer have any income coming in. That was what was throwing me off.</p>

<p>Let’s say that her income by the time she quits is $20K. Her maximum insurance premium would be 5.11% of $20K, which is $85/month. If her income were higher, the percentage would be higher, but she is probably not looking at huge bills.</p>

<p>CF, I thought Medicaid eligibility was calculated month-to-month rather than by yearly income. Or was that a change with the ACA?</p>

<p>Oh, oops. I think you’re right, Romani.</p>

<p>Sorry, Bay. Listen to Romani and not me. Your daughter certainly can buy subsidized insurance. But she should also check out Medicaid.</p>

<p>If a signee doesn’t pay, then no one covered by signee’s plan has insurance. Enrollee or signee has no meaning if there is no payment for the insurance. The insurance company will cancel the plan if they don’t receive a payment. There is no other way to look at this.</p>

<p>CF.
In CA, if you are eligible for Medicaid, you cannot get a subsidy. I assume it is the same in all Medicaid expansion states. So if Medicaid eligibility is determined on a monthly income basis, won’t she be immediately eligible once she quits? And if so, she can’t get exchange coverage, right? It is confusing.</p>

<p>GP, we are betting that 500,000 people are going to be part of plans that are paid for.</p>

<p>I dont care that 1,000,000 people sign up and dont pay.</p>

<p>It is not that hard. Yes or no?</p>

<p>I guess we dont have a deal. </p>

<p>You want me to bet on 500,000 plans? We just went thru this…</p>

<p>So do we have a deal or not? </p>

<p>Yes or no?</p>

<p>Bay, if the rules for Medicaid are the same as pre-ACA (which I believe they are for eligibility… expanded to groups that couldn’t get them before like your D) then yes, she should be eligible as soon as she quits. </p>

<p>Don’t quote me :)</p>