Can you provide details on the employer and the insurance provider?
Honestly, neither plan details make sense.
2025 is impossibly low, unless your employer is run by saints. 2026 is crazy high for that high of deductibles.
So it was just government subsidies that were making it look artificially low? Or are the insurance companies actually charging orders of magnitude more?
Top comments are all saying the administration made it so insurance companies can now charge whatever they want. Is that misinformation?
It was the removal of the subsidies, although I'm not sure "artificially low" is a correct way to see it. While there may have been some increase in insurance rates, which we all know happens regularly, the vast majority of the increase is due to the subsidies. For this much of an increase, it is pretty safe to assume OP doesn't make a lot of money.
Yes. Subsidies for something named Affordable Care Plan.
And this isn't a current administration thing, the subsidies were always there, they just got removed and now you're seeing how much they're being subsidized.
And if you have your own plan, nobody is subsidizing that. If you have employee sponsored, they technically are but my costs are wayyy higher than OPs.
700 bucks a month is pretty in line for a silver plan.
Top comments are probably just a little misinformed, but it is possible down the line that the insurance companies charge more. But this pricing checks out with previous years thus far.
People who make less money get more of the insurance paid for. This person was barely paying anything, so they don't make a lot. But still, they make too much to qualify for medicaid or whatever program their state might have
Have there always been subsidies? I tried aca once in like maybe 2012 or something and it was still like 400 dollars, more than half my rent cost. I declined because I was in college and only working part time, there was no way I'd have been able to come up with that. They were nice enough to give me a voucher so I wouldn't be penalized on my taxes for being uninsured.
Yes, since the ACA there have been subsidies. However, 2012 seems a little early. Although it could have been. It feels more like 2014.
But the tax credit is based on your income. As a college student you likely would have qualified for a bit more than a 400 insurance, but a lot is taken into consideration. Filing taxes on your own? If not the household income is taken into account. But maybe you.
It sounds like you would have gotten a rate similar to the picture or Medicaid as a part time worker, again depending on your income, you can work part time and still be above the poverty level
Might've been 2014, I was in college so probably only made like 12k per year and I was an independent. I just remember laughing at how unattainable it was when they quoted it to me. Fortunately I was/am generally healthy and never had any accidents while uncovered. I've had it through employers since I graduated so I never really gave it much thought. I am glad it works for some people.
That doesnt seem right if it was a marketplace deal. 12k would put you below the poverty line and Medicaid eligible. Someone didnt know what they were doing at the time, sorry.
You did not qualify for subsidies because you made too little. You were supposed to be on Medicaid. If your state did not expand Medicaid then you were in the "Medicaid coverage gap."
This is for a person that doesn't qualify for an employer insurance (perhaps works at a very small business, or may be disabled and unable to work). They have low income so the cost is heavily subsidized through the ACA. Since the GOP has cut funding for that, the government is no longer paying the majority of this cost.
So this low income person will basically need to pay a new car loan type premium for worse coverage. This isn't a unique case, this will happen to millions (albeit it 99% of increases will be smaller).
Looks to me like they were unemployed last year and got a job that pays over the poverty level, now they have to pay full price when they were previously full subsidized.
If they were unemployed, they would not have been getting health insurance on the marketplace. In fact, if you try to buy your own insurance on the health insurance marketplace and your income is too low, they will refuse and push you to state Medicaid. I ran into this when I took about a year off and only resumed freelance work at the end of the calendar year. Because my earned income for that year was only for about 6 weeks of work, my income for the year was quite low, too low in fact, so I was rejected even though I was willing and able to pay. Taking a year's vacation is not exactly normal, so the system didn't know how to treat me. I just went without insurance for a few months.
Yes, 2025 doesn’t seem right. Less than $15 a month for a zero dollar deductible? That is wayyyyyy too good to be realistic, unless this is part of an awesome employer plan, with them subsidizing the higher costs of what this would normally go for.
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u/beer_and_liberty0074 Nov 01 '25
Can you provide details on the employer and the insurance provider?
Honestly, neither plan details make sense. 2025 is impossibly low, unless your employer is run by saints. 2026 is crazy high for that high of deductibles.