Can't afford health insurance -- options?

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miles monroe
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Can't afford health insurance -- options?

Post by miles monroe » Sun Apr 15, 2018 1:22 pm

Son makes 24k a year. Wife has part time retail job. Just had a baby.

He has family health insurance through his job -- 11K a year.

Anything I can suggest to him?

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dm200
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Re: Can't afford health insurance -- options?

Post by dm200 » Sun Apr 15, 2018 1:28 pm

miles monroe wrote:
Sun Apr 15, 2018 1:22 pm
Son makes 24k a year. Wife has part time retail job. Just had a baby.
He has family health insurance through his job -- 11K a year.
Anything I can suggest to him?
What is total family income?

He will have to do the exercise, but he may qualify for an ACA subsidy buying family insurance on an exchange.

Might he have other employment options with better healthcare benefits?

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KlingKlang
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Re: Can't afford health insurance -- options?

Post by KlingKlang » Sun Apr 15, 2018 2:56 pm

Go to HealthCare.gov and check on their eligibility for both Medicaid and ACA coverage in your state.

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dm200
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Re: Can't afford health insurance -- options?

Post by dm200 » Sun Apr 15, 2018 2:58 pm

KlingKlang wrote:
Sun Apr 15, 2018 2:56 pm
Go to HealthCare.gov and check on their eligibility for both Medicaid and ACA coverage in your state.
Yes - depending on the state, medicaid might be an option.

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Pajamas
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Re: Can't afford health insurance -- options?

Post by Pajamas » Sun Apr 15, 2018 3:11 pm

In NY a family of three with an income of $24k would qualify for Medicaid, but it varies by state. What state is he in?

sambb
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Re: Can't afford health insurance -- options?

Post by sambb » Sun Apr 15, 2018 3:14 pm

can also re-evaluate career options to try to incerase salary and benefits

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dm200
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Re: Can't afford health insurance -- options?

Post by dm200 » Sun Apr 15, 2018 3:15 pm

Check also for child's insurance for lower income families.

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samsoes
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Re: Can't afford health insurance -- options?

Post by samsoes » Sun Apr 15, 2018 3:39 pm

If your son and his family qualify, they can join Medishare https://mychristiancare.org/ or Christian Healthcare Ministries http://www.chministries.org.
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chickadee
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Re: Can't afford health insurance -- options?

Post by chickadee » Sun Apr 15, 2018 4:00 pm

If you have access to employer offered insurance, then you are not typically eligible for an ACA subsidy (premium tax credit). If you read the link though, the employer coverage has to be meet two criteria: affordability and minimums of coverage.

https://www.healthcare.gov/have-job-bas ... e/options/

It sounds like your son’s plan may not actually be affordable under the guidelines, hence he’d be eligible for a nice ACA subsidy. You need to do the real math like the examples provided. Example 2 sounds pretty close to his situation.

https://www.healthcare.gov/glossary/aff ... -coverage/
Last edited by chickadee on Sun Apr 15, 2018 4:04 pm, edited 1 time in total.

inbox788
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Re: Can't afford health insurance -- options?

Post by inbox788 » Sun Apr 15, 2018 4:37 pm

Just wondering out loud, but what are the implications of separate insurance? Conventional wisdom says that family plans are simpler and less costly. Would Father/child on one policy separate from mother or mother/child and father lead to lower costs? Logistically, what are the complications when using them?

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stemikger
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Re: Can't afford health insurance -- options?

Post by stemikger » Sun Apr 15, 2018 4:39 pm

In New York, under the ACA, he would be eligible for Medicaid at his salary. Check the State where you live.
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miles monroe
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Re: Can't afford health insurance -- options?

Post by miles monroe » Sun Apr 15, 2018 5:12 pm

OP here; thanks all the great ideas so far. I wasn't aware that he may be able to qualify for ACA, and Medicaid never crossed my mind. I'll look into both as well as the other suggestions.

In response to a couple questions; (1) they live in Georgia, and (2) his wife makes about 9k which brings their family income to 33K.

Keep the suggestions coming; I'll read all of them. Thanks.

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Pajamas
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Re: Can't afford health insurance -- options?

Post by Pajamas » Sun Apr 15, 2018 5:42 pm

Georgia didn't expand Medicaid and doesn't have its own marketplace for healthcare coverage but they should still look at ACA coverage from healthcare.gov and the child would probably qualify for PeachCare.

https://dch.georgia.gov/eligibility-criteria

https://www.healthcare.gov/

Wagnerjb
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Re: Can't afford health insurance -- options?

Post by Wagnerjb » Sun Apr 15, 2018 9:10 pm

Can he save money by living with you?
Andy

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ram
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Re: Can't afford health insurance -- options?

Post by ram » Sun Apr 15, 2018 9:16 pm

Ram

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Sandtrap
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Re: Can't afford health insurance -- options?

Post by Sandtrap » Sun Apr 15, 2018 10:22 pm

"Google" search "ACA Subsidy Cliff".
Don't fall off of it.
Consequences are $$$$$$$$$.
ACA SUBSIDY CLIFF
https://www.gocurrycracker.com/obamaca ... imization/

aloha
j :D
Last edited by Sandtrap on Sun Apr 15, 2018 10:36 pm, edited 1 time in total.

Katietsu
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Re: Can't afford health insurance -- options?

Post by Katietsu » Sun Apr 15, 2018 10:28 pm

This is always a complicated topic. Hopefully, there are not any bits of information or details that will be a "gotcha." My best guess is that the family contribution through the ACA should be about $2500 per year. He should also be eligible for lower deductibles and cost sharing if he chooses a silver plan. There is paperwork to show that the employer plan is unaffordable. This is defined as 9.56% of household income for self only plan. So for the son to qualify for ACA subsidies, you would need to know self only employee contribution. Daughter in law could qualify with him or without him.

Similarly, if he has gone without insurance in the past or is going without it now, he should not pay a penalty for failing to have insurance. He should instead claim the exemption for unaffordable. Again, this assumes all the facts are here.

As others have mentioned, the income also should qualify the child for PeachCare. The co pays are super low.

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munemaker
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Re: Can't afford health insurance -- options?

Post by munemaker » Sun Apr 15, 2018 11:10 pm

miles monroe wrote:
Sun Apr 15, 2018 1:22 pm
Son makes 24k a year. Wife has part time retail job. Just had a baby.

He has family health insurance through his job -- 11K a year.

Anything I can suggest to him?
If employer provided health insurance is not affordable, one can get on ObamaCare. ObamaCare defines employer insurance as not affordable if the cost of self-only coverage exceeds 9.5% of income. Therefore you may be able to buy insurance on the ObamaCare exchange.
Employee's required premium co-share for the lowest-cost, self-only coverage that provides minimum value is not greater than 9.5 percent of an employee's W-2 taxable (Box 1) income
https://www.shrm.org/resourcesandtools/ ... erage.aspx

Use this calculator to see how much you will pay: https://www.kff.org/interactive/subsidy-calculator/

Advice: Make sure income stays high enough to qualify for ObamaCare. If your income is too low, they will push you on to Medicaid.

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Hulahoop60
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Re: Can't afford health insurance -- options?

Post by Hulahoop60 » Mon Apr 16, 2018 12:00 am

How are are your son and his wife? If they are both under 26, could he possibly be added to your family insurance, and his wife to her parent's insurance and the the baby to Peachtree as suggested by another poster? Both of my children stayed on my insurance until they were 26.

TropikThunder
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Re: Can't afford health insurance -- options?

Post by TropikThunder » Mon Apr 16, 2018 2:23 am

Sandtrap wrote:
Sun Apr 15, 2018 10:22 pm
"Google" search "ACA Subsidy Cliff".
Don't fall off of it.
Consequences are $$$$$$$$$.
ACA SUBSIDY CLIFF
https://www.gocurrycracker.com/obamaca ... imization/

aloha
j :D
It really doesn’t look like OP’s son and DIL are at risk of falling off the subsidy cliff anytime soon since it’s $81,000 for a family of three.

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munemaker
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Re: Can't afford health insurance -- options?

Post by munemaker » Mon Apr 16, 2018 9:34 am

TropikThunder wrote:
Mon Apr 16, 2018 2:23 am
Sandtrap wrote:
Sun Apr 15, 2018 10:22 pm
"Google" search "ACA Subsidy Cliff".
Don't fall off of it.
Consequences are $$$$$$$$$.
ACA SUBSIDY CLIFF
https://www.gocurrycracker.com/obamaca ... imization/

aloha
j :D
It really doesn’t look like OP’s son and DIL are at risk of falling off the subsidy cliff anytime soon since it’s $81,000 for a family of three.
That's what I was thinking...but they could fall under the minimum income to qualify for ObamaCare, and get pushed on to Medicaid.

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Pajamas
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Re: Can't afford health insurance -- options?

Post by Pajamas » Mon Apr 16, 2018 9:41 am

munemaker wrote:
Mon Apr 16, 2018 9:34 am

That's what I was thinking...but they could fall under the minimum income to qualify for ObamaCare, and get pushed on to Medicaid.
Not an issue for them because Georgia's government chose not to expand Medicaid. The parents would simply become uninsured if their income dropped. The U.S. does not have universal health care coverage.

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munemaker
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Re: Can't afford health insurance -- options?

Post by munemaker » Mon Apr 16, 2018 11:08 am

Pajamas wrote:
Mon Apr 16, 2018 9:41 am

Not an issue for them because Georgia's government chose not to expand Medicaid.
Thanks - missed the part about them living in Ga.
The U.S. does not have universal health care coverage.
Of course not! Who thought we (the US) did?

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dm200
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Re: Can't afford health insurance -- options?

Post by dm200 » Mon Apr 16, 2018 11:52 am

Pajamas wrote:
Mon Apr 16, 2018 9:41 am
munemaker wrote:
Mon Apr 16, 2018 9:34 am
That's what I was thinking...but they could fall under the minimum income to qualify for ObamaCare, and get pushed on to Medicaid.
Not an issue for them because Georgia's government chose not to expand Medicaid. The parents would simply become uninsured if their income dropped. The U.S. does not have universal health care coverage.

Watch for possible changes.
Here in Virginia, the Virginia legislature consistently refused to expand medicaid. While the 2017 elections for the Virginia House of Delegates did not change the party in control, the significant changes (along with a Governor who supports expansion) seem to indivate that Virginia may soo expand medicaid.

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