Seriously, do these people live in an alternate universe?
These “lower premiums” assume that a high percentage of younger healthier adults will gladly enroll.
But younger, healthier adults tend to think that they’re bulletproof and are more willing to take the risk of going without coverage and that is what will lead the rates to skyrocket!
Google Covered California to get the hard-to-find calculator where you can plug in the numbers for your situation. The premium for hubby and I, both turning 60 this year, is $1249 for the silver plan, which is 70/30. He was terminated in March, so I’ve been looking into private coverage since then, with the premiums for the 2 of us averaging between $700 to $900. We live in Arizona, and those premiums don’t include maternity and pediatric care, which (fingers crossed!) we don’t need. We will definitely be much worse off with Zerocare, so he’s a liar! Needless to say, we have decided to forego health insurance for the next 5 years until Medicare kicks in.
I forgot to mention that we’re not eligible for any subsidies because we make too much with our 2 part-time jobs, as the income cutoff for subsidies is something like $62,000. If you make $61,500, you only pay about $500/month, but if you make $62,500, you pay $1249! Of course, if the unsubsidized premium is more than 8% of your income, you aren’t required to buy it or pay the tax/penalty either....but you also aren’t insured and are therefore SOL! So how exactly does Zerocare help out the middle class?
That is the cheapest policy there is....
The rates announced were for ages 25 and 40. The catastrophic rates were close to the bronze rates, which indicates there’s an actuarial flaw somewhere.
And, not only are the rates tied to income, but the benefits are tied to income. On the same plan, a burger flipper has a $3 co-pay for an office visit, a middle income worker pays $45. There are no current policies where the benefits are income-indexed, so any comparison is meaningless.
http://www.coveredca.com/news/PDFs/CC_Health_Plans_Booklet.pdf