<p>^ I agree, but that’s not what I’ve seen happening here. I would also add that many policies were not so cheap even for the healthy. They are paying for their insurance out of their own pockets, those who are not really shouldn’t be complaining about a thing…IMO</p>
<p>So you will be paying the tax on that insurance? Or is he in a union getting the waiver?</p>
<p>Well can they complain when they get hit with the Cadillac Health Plan tax?</p>
<p>I’m not sure if our insurance counts as Cadillac insurance; I haven’t looked at the numbers. But it might.</p>
<p>It kicks in pretty low. CF. </p>
<p>Do you have something akin to bronze? </p>
<p>Anything above that will be taxed</p>
<p>The Cadillac tax kicks in at $27,500 for family coverage and $10,200 for individual coverage (in 2012 dollars, or something like that). That’s not so very low.</p>
<p>It also doesn’t kick in til 2018</p>
<p>I work in State government and we are considered to have the very best coverage around. Our best single plan costs $7,542 per year which includes prescription coverage. A family plan is $19,535.00 with drug coverage.</p>
<p>The employee pays anywhere from 5% to 35% of the premium depending on their income level.</p>
<p>I hadn’t thought about it, but in 2018 my family won’t be worried about the Cadillac tax. Before 2018, we’ll be in poetgrl’s boat, buying an individual policy on the exchanges, most likely. Who knows, Mr. Fang might decide to retire as soon as this year.</p>
<p>If, by 2018, we’re in a situation where a lot of family premiums cost $27,500, we’re in a boatload of trouble, with or without ACA, with or without a Cadillac tax.</p>
<p>If you think that employer paid health care should not be tax deductible it seems this tax is the way there.</p>
<p>We are already in a boatload of trouble CF. </p>
<p>You just don’t see it yet.</p>
<p>This whole thing relies on healthy adults who have massive student loan debt and can’t get full time employment.</p>
<p>I could imagine the individual plan costing $10K, especially if we get in this death spiral of healthy people not signing up, therefor the premiums go up, therefor health people dont sign up. </p>
<p>The more likely events are either people get dropped from their ‘Cadillac’ plans. Or the Cadillac tax gets repealed. Which leaves another hole in the ACA funding formula.</p>
<p>My premiums for 2014 are the same as 2013. Husband has to contribute toward his, but mine is completely paid for ('cept since I donate to the church, one could argue that I am contributing to my own health insurance).</p>
<p>Is this employer or individual?</p>
<p>
</p>
<p>The 60/40 (or whatever) copay only starts AFTER you have spent your full deductable and then applies until you have hit the full max annual out of pocket.</p>
<p>So, say you have a $5000 deductable and a $6000 max out of pocket. You basically pay 100% of the first $5000 and then you do the copay thing for additional stuff until you have spent $6000 out of pocket during the calendar year.</p>
<p>And be careful with the “free preventative” care. To give you an example, colonoscopies are “free preventative care” until you have a polyp removed during a routine colonoscopy. From then on, colonoscopies are a treatment for a medical condition (polyps), not preventative care (screening). I found this out when I went to confirm that my colonoscopy would be covered 100% not subject to my deducatable since my policy says that preventative stuff is not subject to the deductable. </p>
<p>BTW, my Blue Cross individual policy is no longer going to be offered. It’s grandfathered until July 2014 and then I’ve got to replace it with a more expensive policy (probably an exchange policy).</p>
<p>The more immediate problem is that health care dot gov is not working. If it’s not working by around Thanksgiving, then they will have to give up on fining people for not signing up. </p>
<p>Of course that starts the death spiral even sooner. No fine, the healthy are less likely to sign up particularly when it takes days and days of trying. Then the insurance companies have to raise the rates on the exchange even more which makes the insurance even more unaffordable for the middle class. The insurance companies will back out of the exchanges altogether if they can’t make money.</p>
<p>I know. </p>
<p>We only have the one on the exchange covering all counties. There is one who is working only with 40% We are in that 40, but their approved networks are smaller. </p>
<p>If BCBS can’t make a profit, off they will go. </p>
<p>I think there are states in worse shape. </p>
<p>The less populated areas now not only have doc shortages, they have insurer shortages. </p>
<p>It’s quite bizarre. </p>
<p>Does any other country have this model?</p>
<p>weren’t we promised premiums for a family plan would decline by $2,000?</p>
<p>Switzerland has an individual mandate to buy private insurance, and so does the Netherlands. In both countries, lower income individuals get government subsidies to buy insurance.</p>