1) If the second lowest cost silver plan (SLCSP) goes up in price, subsidies AUTOMATICALLY go up. Also, in many places there are lots of good choices left. You really need to check specifics for wherever you happen to be. In our area a couple companies have exited but we have many good choices left. As for HMOs, I am very happy with my nationally top-ranked HMO. Other places have Kaiser (which slightly outranks mine). So it is a very much YMMV situation.fpr4 wrote:
7 states are going up more than 50%. You can't change plans because most are being eliminated (hmo's are basically the only thing left), you have to have a silver plan to get the premium, and as you pointed out, insurance companies are leaving in droves.
This whole thing was a half measure. You can't force demand for a product, put a cost ceiling on that product and then expect companies to keep offering the product.
And I haven't seen anything that has said the subsidies are going up for 2017. Feel free to post a link indicating otherwise.
2) You wrote above "You have to have a silver plan to get the premium." That sentence doesn't make sense--all the metal colors have "premiums." I am not sure what you meant to write, but you can get a premium subsidy whether you have bronze, silver, gold, or platinum as long as your MAGI is below 400% of the poverty level.
What you need a silver for is to get cost-sharing subsidies (i.e., reductions in deductibles, copays, and coinsurance) and those only apply if your income is below 250% of poverty level. For anyone above 250% of poverty category, there is nothing special about getting a silver. Many folks would prefer a bronze that qualifies for HSA contributions.