10-01-2013, 12:10 PM
It is really, really hard to compare plans given co-pays and deductibles.
For me, age 63, wife, age 59, son, age 21, all covered under my wife's work plan so no exchange for us. We have a $500 deductible per person, $1500 per family, so we pay $500 each for the three of us. We pay $425 per month, her employer claims to pay an additional $1166 per month. Family taxable income last year was $80k (I was retired all year, son is a deadbeat college student.) No co-pays except for $10 per prescription unless the Rx is less than $10. So, essentially we pay the first $500 each year (not counting preventative care like immunizations or physicals where the insurance pays 100% from day one.) We have rarely gone over $500 per person each year, knock on wood, so we are a net supporter of others; not so for our daughter:
Our daughter, age 23, goes from $351/month to zero on medical assistance and will until she makes $31, 597. She was dropped from our family plan before ObamaCare was put into place and after she turned 19. She has medical expenses, including prescriptions, in excess of $25k per year because she has a kidney transplant. She will always 'income qualify' for medical assistance due to developmental disabilities.
Under the exchange, for a platinum plan, we would pay ~$600/month. We would not qualify for a subsidy. Note that this is an estimate based on a sample plan, not an actual quote which will not be available until later today, if then given how hard the website will be getting hit.
For me, age 63, wife, age 59, son, age 21, all covered under my wife's work plan so no exchange for us. We have a $500 deductible per person, $1500 per family, so we pay $500 each for the three of us. We pay $425 per month, her employer claims to pay an additional $1166 per month. Family taxable income last year was $80k (I was retired all year, son is a deadbeat college student.) No co-pays except for $10 per prescription unless the Rx is less than $10. So, essentially we pay the first $500 each year (not counting preventative care like immunizations or physicals where the insurance pays 100% from day one.) We have rarely gone over $500 per person each year, knock on wood, so we are a net supporter of others; not so for our daughter:
Our daughter, age 23, goes from $351/month to zero on medical assistance and will until she makes $31, 597. She was dropped from our family plan before ObamaCare was put into place and after she turned 19. She has medical expenses, including prescriptions, in excess of $25k per year because she has a kidney transplant. She will always 'income qualify' for medical assistance due to developmental disabilities.
Under the exchange, for a platinum plan, we would pay ~$600/month. We would not qualify for a subsidy. Note that this is an estimate based on a sample plan, not an actual quote which will not be available until later today, if then given how hard the website will be getting hit.