My question is, if I go out of pocket and pay for the original medication through my doctor's compounding agency (~$1k/month), even though insurance won't pay, would I eventually get that money back through ACA? Don't they have an out-of-pocket limit of a percent of income? So if I pay anything above what I'm subsidized for, wouldn't that mean that I get that money back through tax credits? If that were to happen, I'd accelerate Roth conversions to keep my tax near zero.
They do have an out of pocket limit as a percent of income, but that only applies to the monthly insurance premiums you pay, not to anything else.
The insurance policy you buy might also have an out of pocket annual maximum, although those are usually high unless you are on a Silver CSR policy of some type. And BCBS will decide what applies to your out of pocket annual maximum, and that might not include something that you just decide to pay for on your own.
Thank you @reeshau . I appreciate that info!
And maybe someone wants to address why it's easier to get understandable info here than it is through official channels. They just blather on and on and on until whatever they're saying is obfuscated with jabbering.
If you buy a burger at McDonald's and don't like it, next time you want a burger you can switch fairly easily to Burger King or Wendy's or Sonic or Five Guys or Smashburger or Red Robin or In-N-Out. In some cases they're literally across the street from each other.
ACA is a government program. If you don't like the service you get from the ACA, next time...well, it's harder to switch governments than it is to switch hamburger providers. In the case of the US, it could involve moving out of the country, becoming eligible to be a citizen of another country, renouncing your US citizenship, and possibly paying an exit tax. And the sequelae of being away from family, learning a new culture, getting a new job and living quarters, possibly learning a new language, etc.
