Health ins ?s for younger spouse

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Topic Author
Megamill
Posts: 59
Joined: Sun Feb 11, 2018 10:44 am

Health ins ?s for younger spouse

Post by Megamill » Sat Sep 21, 2019 12:13 pm

Asking on behalf of a Dear Friend (DF) whose retired DH has health ins (for both) through his former employer until 65. I know that DF can look for her own insurance on the ACA exchange and in doing so, also possibly qualify for a subsidy. Three questions:

1. Assuming they file MFJ, the subsidy is based on the couple's MAGI, right?
2. Does MAGI include pension, ss, investment gains, savings interest, dividends?
3. If DF's DH's future ss counts toward MAGI, and if delaying ss gets the couple's MAGI under the income limits, DF would qualify for the subsidy, right?

mhalley
Posts: 7651
Joined: Tue Nov 20, 2007 6:02 am

Re: Health ins ?s for younger spouse

Post by mhalley » Sat Sep 21, 2019 1:10 pm

Looks like a yes to all IMHO. I am not sure what you mean by future ss. If he has not claimed ss, it is not included in income, as he is not getting any $. As long as the total income is below the cutoff, subsidy applies.
https://www.healthcare.gov/income-and-h ... on/income/
If you are talking about getting an ACA plan instead of using the retiree health insurance, these rules apply:
If you have retiree health benefits
If you have retiree coverage and want to buy a Marketplace plan instead, you can. But:

You can’t get premium tax credits and other savings based on your income. This is true only if you’re actually enrolled in retiree coverage. If you’re eligible for but not enrolled in retiree coverage, you may qualify for premium tax credits and lower out-of-pocket costs based on your household size and income.

If you voluntarily drop your retiree coverage, you won’t qualify for a Special Enrollment Period to enroll in a new Marketplace plan. You won’t be able to enroll in health coverage through the Marketplace until the next Open Enrollment period.
https://www.healthcare.gov/retirees/

Topic Author
Megamill
Posts: 59
Joined: Sun Feb 11, 2018 10:44 am

Re: Health ins ?s for younger spouse

Post by Megamill » Sun Sep 22, 2019 9:02 am

By "future ss", I mean DF's DH has not yet claimed. Also, his retiree health plan stops (for both of them) when he turns 65 but DF is younger so won't be Medicare eligible for a few more years.

Topic Author
Megamill
Posts: 59
Joined: Sun Feb 11, 2018 10:44 am

Re: Health ins ?s for younger spouse

Post by Megamill » Sun Sep 22, 2019 9:06 am

Also mhalley, thanks very much for that link. Very helpful.

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