Author Topic: How to estimate ACA insurance costs  (Read 922 times)

dhc

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How to estimate ACA insurance costs
« on: July 06, 2021, 08:05:30 AM »
In the past I remember being able to look at plans without actually applying, and I've seen reference in other posts to something like that, but I'm not finding it. Does anyone have good tricks for estimating plan costs and/or subsidies in advance? Do I just have to wait until the next open enrollment period to be able to see prices?

miked

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Re: How to estimate ACA insurance costs
« Reply #1 on: July 06, 2021, 08:22:38 AM »
Have you tried here: https://www.healthcare.gov/see-plans/#/

It works in my state (Michigan). Enter some basic details, estimate an income and see the prices.

yachi

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Re: How to estimate ACA insurance costs
« Reply #2 on: July 06, 2021, 08:39:04 AM »
It works fine in my state too:
https://enroll.pennie.com/hix/
Click on "browse for health and dental plans"

If you qualify for a Special Enrollment Period, you can enroll any time. You’re eligible if you have certain life events, like getting married, having a baby, moving, or losing other health coverage.

As far as tricks, keep in mind this can be a bit of an iterative process:  Estimate your total FIRE expenses, see what health care costs with your planned withdrawal rate, estimate FIRE expenses with our new health care costs, get new health care cost estimate.

WhiteTrashCash

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Re: How to estimate ACA insurance costs
« Reply #3 on: July 06, 2021, 08:45:57 AM »
Try healthsherpa.com. It will not only estimate your subsidy, but show you the price of all available ACA plans and suggest the least expensive plan including all costs out-of-pocket. It works for most states.

terran

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Re: How to estimate ACA insurance costs
« Reply #4 on: July 06, 2021, 09:11:33 AM »
Here's a good source for quick estimates of your subsidy and cost for a 2nd lowest cost silver plan: https://www.kff.org/interactive/subsidy-calculator/. For costs of other plans or to get a more definitive answer you should go with your states exchange.

dhc

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Re: How to estimate ACA insurance costs
« Reply #5 on: July 06, 2021, 09:30:55 AM »
Thank you, all - great resources including for from @mikedom

Fishindude

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Re: How to estimate ACA insurance costs
« Reply #6 on: July 06, 2021, 09:55:28 AM »
Most communities have one or more insurance company that assists setting people up on ACA plans as well as Medicare supplements.
We first tried going online and really didn't understand things, plus got bombarded by solicitations via text and email and eventually wound up going to an a private individual face to face who did a real good job showing us our options and getting us set up.

FIRE 20/20

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Re: How to estimate ACA insurance costs
« Reply #7 on: July 06, 2021, 10:38:31 AM »
Those are all great resources, but I would also try to find your state's site.  Usually you can pretty easily find your state's official ACA site without much difficulty using a search engine, and most states have calculators that you don't need to log into.  One other thing - I was initially confused by the differences between premium tax credits and cost sharing reductions.  By playing around with different income levels I was able to see how big a difference they make and where each one kicks in.  I was able to see that by increasing my income from Roth Conversions by $8,000 / year I was likely to add $6,000 in health care costs and taxes.  Taking $8k each year from my 'stache to get an extra $2k to spend was not a tradeoff I wanted to make, and the calculators helped me to understand those impacts.  If you have an ability to generate a specific income each year (like if you're doing a Roth ladder) then it really pays to try different income levels.  I would recommend looking at numbers just above and below 150% of the Federal Poverty Level, 200%, and 250%.  When you do this, be sure to look not only at premiums but also at things like out of pocket maximums.  Keep in mind that (I think) the Cost Sharing Reductions apply only to Silver plans.  If you're able to generate a low income (like 150% of the FPL) then a silver plan may be much less expensive than a bronze plan.