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Obamacare enrollee sees premium spike over 300% as sign-up period begins: 'This will devastate us'
ABC News | Disney ^ | November 1, 2025 | ByJustin Gomez

Posted on 11/01/2025 6:37:44 PM PDT by Oldeconomybuyer

Stacy Cox used one word repeatedly as she described how she felt after learning her ACA premium could jump over 300% without the enhanced tax credits: "devastating."

"I don't know if I've ever cried opening a letter from an insurance or before, but it happened this time," she told ABC News.

Cox's premium this year has been $495.32 for coverage for her and her husband. Without the credit in 2026, she was informed that it's increasing to $2,168.68.

"It's devastating because we can't afford that," she said. "Just that bill right there, that's more than our mortgage, our insurance, most of our food. That's what we're paying per month to live. We can't afford to double what it costs for us to live just to have health insurance."

"This will devastate us if we tried to pay it," she added.

Millions across the country are discovering just how much their plans will cost as open enrollment for Affordable Care Act insurance plans began on Nov. 1. Enrollment lasts through Jan. 15, 2026.

For Cox and her husband, who live in Kanab, Utah, even if the tax credit were to be extended, they'd still see the premium increase to $753.68. It would be a hit to their budget, but one they would take to keep insurance.

"It's already going to be hard for us to have a 52% increase on our premium, and that's if the credits are extended," she said. "But we will do it so that we can have health coverage."

Cox is a professional photographer and she and her husband, 55, have been enrolled in "Obamacare" since 2022.

For now, she's holding on to hope that the tax credits are extended and will reenroll in her plan so she doesn't miss open enrollment.

(Excerpt) Read more at abcnews.go.com ...


TOPICS: Constitution/Conservatism; Culture/Society; News/Current Events; Politics/Elections
KEYWORDS: aca; affordablecareact; communist; deemedpassed; failure; healthcare; obama; price; socialist; utah
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To: blackdog

I now have Medicare, and never had to prove that I had health insurance prior.


41 posted on 11/01/2025 8:01:44 PM PDT by kaila
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To: Oldeconomybuyer

Obamacare was supposed to lower costs.

That’s what they told us over and over and over again.

Liars. All of them.

L


42 posted on 11/01/2025 8:03:50 PM PDT by Lurker ( Peaceful coexistence with the Left is not possible. Stop pretending that it is.)
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To: blackdog

The problem with Obamacare was that people who had low cost subsidized insurance never saw the reality of what people who were actually paying into their insurance had to pay. For me, it was a $1200 per month with a $6000 deductible. And when I needed to see a doctor, I had to wait months because all the people who paid nothing got appointments ahead of me. The long appointment times happened after Obamacare came in, which allowed people who paid nothing got healthcare ahead of people who were subsidizing them.


43 posted on 11/01/2025 8:05:50 PM PDT by kaila
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To: Secret Agent Man

But they are not gone.

The subsidies that existed pre 2020 will still exist, even with an inflation bump. My understanding is the only thing expiring are the Covid increases that were added.

Obamacare subsidies do NOT go to zero.


44 posted on 11/01/2025 8:10:17 PM PDT by Owen
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To: Oldeconomybuyer

The Obamacare 55-62 window is brutal. Ain’t nationalized Healthcare wonderful.


45 posted on 11/01/2025 8:11:21 PM PDT by bray (It's not racist to be racist against races the DNC hates.)
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To: AbolishCSEU
If she’s working as a part-time photographer I’d say that she needs to get a full-time job.

There are plenty of employers who will provide health insurance.

But the catch is that she is going to have to work.

46 posted on 11/01/2025 8:15:03 PM PDT by MinorityRepublican
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To: kaila

Yes you did. They have the information on their systems.


47 posted on 11/01/2025 8:18:54 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: kaila
It’s important to sign up for Medicare coverage during your Initial Enrollment Period, unless you have other coverage that’s similar in value to Medicare (like from an employer). If you don’t, you may have to pay an extra amount, called a late enrollment penalty. Late enrollment penalties: Are added to your monthly premium. Are not a one-time late fee. Are usually charged for as long as you have that type of coverage (for most people, that’s a lifetime penalty).

"Late enrollment is used strangely here.

48 posted on 11/01/2025 8:24:32 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: blackdog

How? Its a HIPAA issue. When the mandates came in, you had to send proof of insurance when you filed for income tax. I did that exactly once, and then the mandates stopped. I never sent proof for years after that.


49 posted on 11/01/2025 8:25:15 PM PDT by kaila
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To: kaila

The “Late Enrollment” they are referring to happens to be that you enroll with existing credible coverage. If you don’t have that existing credible coverage, you’re a late enrollment in their terms. I’m not sure why it’s worded so strangely? But if you read that first paragraph you will pick up on the contradiction.


50 posted on 11/01/2025 8:29:59 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: blackdog
Late enrollment penalty is different than saying if you didn't pay for premiums when you were , let's say, at age 64,, you get dinged by Medicare when you enroll with Medicare.
51 posted on 11/01/2025 8:30:12 PM PDT by kaila
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To: kaila

Yes. It’s reported by your employer or insurance company directly to the agency that shall not be named.


52 posted on 11/01/2025 8:32:14 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: blackdog

So if I pay privately for health insurance before Medicare age, and pay full freight for it, it gets reported to the government? And if people who didn’t have health insurance prior to Medicare ( even though someone paid their Medicare tax ) get penalized with a higher Medicare premium ? That makes no sense, and is a HIPAA violation, I just don’t think you are right on that.


53 posted on 11/01/2025 8:36:29 PM PDT by kaila
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To: kaila

There is no health information exchanged. Just that you have health coverage or not. That was one of the fights about low cost catastrophic plans. The you know who folks at you know where claimed it wasn’t credible coverage because it didn’t cover wellness visits and yearly physicals. Apparently they met somewhere half way. You have to ask the company administrator of a low cost catastrophic plan if it’s considered credible coverage by Medicare at the time you transition to Medicare. Some plans are not.


54 posted on 11/01/2025 8:37:34 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: kaila
From their website.....

Health insurance providers - for example, health insurance companies – may send Form 1095-B to individuals they cover, with information about who was covered and when. Certain employers will send Form 1095-C to certain employees, with information about what coverage the employer offered.

55 posted on 11/01/2025 8:43:56 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: kaila

The idea on the credible coverage fine was to prevent low end, low cost, low value health insurance plans from taking away ACA enrollment. Employers were offering garbage plans that were predatory in some cases. The insurances the ACA is competing with were not to the standard of glorious Obamacare. So all credible plans from any insurer had to meet certain standards. If they did not meet the requirements they did not count as credible coverage.


56 posted on 11/01/2025 8:50:17 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: kaila
You can't just show up on Medicaids front door expecting health insurance when you had none or had very minimal catastrophic insurance that failed to meet the regulations.

Gosh there were so many arguments about this back in 2010. Confusing for sure.....because they "had to pass it to find out what's in it." This was one if the discoveries.

57 posted on 11/01/2025 8:55:27 PM PDT by blackdog ((Z28.310) "Diggin the scene with a gangster lean" (Mayfield, Curtis) )
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To: Oldeconomybuyer

The Affordable Care Act is only affordable if somebody else (suffering taxpayers) is paying for it. Even when the subsidy it paid by somebody else it is still not affordable and especially if you have to use it and the high deductibles kick in.


58 posted on 11/01/2025 9:13:24 PM PDT by Gritty (The issue is never the issue. The issue is always the Revolution. - Saul Alinsky)
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To: Owen

And they are having this much of a hissy fit? They made it seem all the suubsidies were going, which they should. OMFG.


59 posted on 11/01/2025 9:29:36 PM PDT by Secret Agent Man (Gone Galt; not averse to Going Bronson.)
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To: decal

LOL


60 posted on 11/01/2025 9:32:23 PM PDT by Fledermaus ("It turns out all we really needed was a new President!")
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