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re: Health Insurance Premiums

Posted on 11/1/25 at 8:20 pm to
Posted by gdzgft28
Member since Nov 2015
937 posts
Posted on 11/1/25 at 8:20 pm to
quote:

The govt isn’t giving us shite with a deduction.


Except dollars are fungible. Without the deduction your paycheck would be smaller.

Those on ACA get their entire check because their health insurance premiums aren’t deducted from their check. The subsidies allow them to keep more of it though just like the deduction employees receive.

Y’all do know Milton Friedman was in favor of health insurance vouchers?!? Amazing how a conservative idea became welfare just because a democrat passed it.
This post was edited on 11/1/25 at 8:31 pm
Posted by Bayou
Boudin, LA
Member since Feb 2005
41671 posts
Posted on 11/1/25 at 8:20 pm to
quote:

If we discuss what is really happening behind the scenes of Obamacare I'll end up banned again

What a shame because I'd be interested to hear and learn
Posted by Grievous Angel
Tuscaloosa, AL
Member since Dec 2008
10723 posts
Posted on 11/1/25 at 8:22 pm to
quote:

Why is everything so high??


Next time you go to the hospital take care to look at what they're charging. Not what you pay to insurance. But what insurance is going to pay.

It doesn't take too many nights in the hospital to run up a 6 figure bill.

Posted by VooDude
Member since Aug 2017
2344 posts
Posted on 11/1/25 at 8:24 pm to
About $120 a month for a PPO with $1,500 deductible, 90% payment on bills (coinsurance?). And I thought I had it bad…
This post was edited on 11/1/25 at 8:26 pm
Posted by dallastigers
Member since Dec 2003
9618 posts
Posted on 11/1/25 at 8:38 pm to
quote:

Those on ACA get their entire check because their health insurance premiums aren’t deducted from their check. The subsidies allow them to keep more of it though just like the deduction employees receive.


If equal effect then why shouldn’t they just get to only deduct premiums from their taxable income instead of basically getting tax credits with subsidies?

Currently on top of receiving govt subsidies they also get to deduct what’s not covered by those subsidies if and when those subsidies do not cover the entire premium:
quote:

Affordable Care Act (ACA) Plans
These plans are tax deductible and you can deduct the full premium cost. However, many people with ACA health insurance marketplace plans receive premium tax credits to help reduce health insurance costs. If you receive that subsidy, you can only deduct what you paid in premiums and not the cost that includes the subsidy.
https://www.forbes.com/advisor/health-insurance/is-health-insurance-tax-deductible/


Better question why should covid subsidies still continue?
The covid subsidies were only added in 2021 for only 2021-2022 but then extended in 2022 by Dems thru end of 2025:
quote:

The enhanced premium tax credits that have been available since 2021 are scheduled to expire at the end of 2025. This means the income cap of 400% of the federal poverty level will return, eliminating subsidies for those earning above this threshold.


The above subsidies were not part of the Obamacare law and didn’t exist until almost a year after covid and it’s subsequent extended shutdowns with the passing of the American Rescue Plan of 2021 (ARPA) by Dems and Biden’s Autopen.

The extension of the covid subsidies by Dems and Biden’s Autopen in 2022 for 2023 thru 2025 was already questionable but included ending on December 31st 2025 for a reason. How long should covid help be extended without covid being a pandemic or causing shutdowns??
This post was edited on 11/1/25 at 9:22 pm
Posted by dgnx6
Member since Feb 2006
86312 posts
Posted on 11/1/25 at 8:47 pm to
quote:

So.. your first line of defense against high health insurance premiums is welfare.


Or work for the government.
Posted by MemphisGuy
Germantown, TN
Member since Nov 2023
13784 posts
Posted on 11/1/25 at 8:48 pm to
quote:

If equal effect then why shouldn’t they just get to only deduct premiums from their taxable income instead of basically getting tax credits with subsidies?


Because he's comparing apples and oranges, and he knows that, he's just trying to defend subsidies as "being the same thing as tax deductions".

Of course they aren't, and I suspect he knows they aren't, but it seems like it's a hill he's willing to die on, so whatever.

There's football on anyways. Not sure why I'm even wasting my time here.
Posted by dgnx6
Member since Feb 2006
86312 posts
Posted on 11/1/25 at 8:51 pm to
quote:

About $120 a month for a PPO with $1,500 deductible, 90% payment on bills (coinsurance?). And I thought I had it bad…



Is your employer paying a portion of it?

Or are you just poor?

Someone is subsidizing this.
Posted by VooDude
Member since Aug 2017
2344 posts
Posted on 11/1/25 at 8:52 pm to
quote:

your employer paying a portion of it? Or are you just poor? Someone is subsidizing this.
Employer
Posted by Disco Ball
Denham Springs
Member since May 2025
837 posts
Posted on 11/1/25 at 9:01 pm to
Just an FYI for this thread since so many are mentioning the enhanced premium tax credits that may expire at the end of the year.
If they expire...
The OP could still have an AGI of $84,650 and still receive a subsidy
If they have 2 dependents their AGI could be 128,500

Keep in mind that subsidies are based on MAGI/AGI which means that the OP's earnings could by more than the above figures. AGI is after deducting contributions to qualified retirement plans, HSA's, IRA's etc and alimony payments and a few other deductions.
Posted by MemphisGuy
Germantown, TN
Member since Nov 2023
13784 posts
Posted on 11/1/25 at 9:05 pm to
quote:

Just an FYI for this thread since so many are mentioning the enhanced premium tax credits that may expire at the end of the year.
If they expire...

So... if you go ahead and sign up... the enhanced credit isn't there... so your premium is increased... and if they DO extend.. reckon will they adjust everyone's premium who signed up "early"? Or just say "well, you should have waited."

Posted by Disco Ball
Denham Springs
Member since May 2025
837 posts
Posted on 11/1/25 at 9:17 pm to
quote:

So... if you go ahead and sign up... the enhanced credit isn't there... so your premium is increased... and if they DO extend.. reckon will they adjust everyone's premium who signed up "early"? Or just say "well, you should have waited."


It will be adjusted.
This isn't an issue for most that are currently receiving a subsidy.
Few higher income folks realized back in 2021 that the maximum income limits had increased.
Posted by LeGrosChat
Bangladesh
Member since Feb 2016
600 posts
Posted on 11/1/25 at 9:21 pm to
quote:

It’s almost as if they are looking at your financial status instead of your family’s health status


Correct- Obama said he wanted Transformation.
Lower income receive premium tax credit to pay for insurance.
Real low income, on Medicaid.
Middle income you get screwed and pay a fortune for insurance.

So, Obamacare incentivizes you to work less, also will pay for drug and substance abuse, although your company may not keep you around while you rehab for 6 months. Also, Obamacare makes sure to let you get health insurance if you are released from jail. Rob a store, work a low salary job, get addicted and you can get health insurance.
Posted by MemphisGuy
Germantown, TN
Member since Nov 2023
13784 posts
Posted on 11/1/25 at 9:24 pm to
quote:

Few higher income folks realized back in 2021 that the maximum income limits had increased.

True.

Thankfully, I don't have to worry about the whole ACA thing... but I have heard stories of people purposely underestimating their income (or rather unscrupulous agents) in order to get a higher premium and then being shocked when they have to pay it back when they reconcile on their tax return. Seems like... from that standpoint... the system is ripe for fraud... you just estimate your income, right? Granted, you have to reconcile... but still...
Posted by iglass
North Alabama
Member since Apr 2012
3096 posts
Posted on 11/1/25 at 9:26 pm to
quote:

Bestbank Tiger

I've been with a sharing ministry since January 2015.

Christian Healthcare Ministries. $300/mo.


I checked into this group. Sounded great... until they told me that there was a three year exemption on ALL pre-existing conditions.

I'm both diabetic and am a walking kidney stone factory. This would not work at all for me.
Posted by Colonel Angus
Member since Aug 2007
2143 posts
Posted on 11/1/25 at 9:32 pm to
HDHP family plan. $4k deductible. $400/month premiums. Company puts $4k into HSA every year.
Posted by dallastigers
Member since Dec 2003
9618 posts
Posted on 11/1/25 at 9:34 pm to
quote:

This isn't an issue for most that are currently receiving a subsidy. Few higher income folks realized back in 2021 that the maximum income limits had increased.


So why are the enhanced covid subsidies for Obamacare along with wanting to force the removal of the recently added penalty on any state funding illegals using Medicaid worth the current govt shutdown by Dems? (Especially when the enhancements were unchanged and kept in the clean CR bill to keep govt open for 2 months that the Dems have been blocking in the Senate which caused this shutdown)

Does that mean one of the 2 reasons mention above is more important to Dems than the other?
This post was edited on 11/1/25 at 9:36 pm
Posted by MemphisGuy
Germantown, TN
Member since Nov 2023
13784 posts
Posted on 11/1/25 at 9:37 pm to
quote:

Does that mean one of the 2 reasons mention above is more important to Dems than the other?

I think it might mean exactly that.
Posted by Dadditude
NW Florida
Member since May 2020
36 posts
Posted on 11/1/25 at 9:43 pm to
quote:

I've been with a sharing ministry since January 2015.

Christian Healthcare Ministries. $300/mo.


I am seriously considering this route so I have questions.

Is that rate for single coverage or family?

How is the coverage, is there a lot of out of pocket cost?

What do you do about prescriptions? My understanding is that the health share plans don't cover scripts...
Posted by Disco Ball
Denham Springs
Member since May 2025
837 posts
Posted on 11/1/25 at 9:46 pm to
quote:

Thankfully, I don't have to worry about the whole ACA thing... but I have heard stories of people purposely underestimating their income (or rather unscrupulous agents) in order to get a higher premium and then being shocked when they have to pay it back when they reconcile on their tax return. Seems like... from that standpoint... the system is ripe for fraud... you just estimate your income, right? Granted, you have to reconcile... but still...


When applying for a subsidy the exchange asks you to give your best "estimation" of next years income. Many of my subsidy clients are in and out of jobs throughout the year or working manual labor jobs here and there. They have no idea what there income will be. I'm self employed and I have no idea what my AGI is until taxes are filed. There is no fraud involved.
It all comes out in the wash at tax time. If they overestimated income due to losing a job or were injured and couldn't work, whatever, and made less money they will receive a refund. If they had a good year or received a big raise then they will owe a portion of the subsidy back
This post was edited on 11/1/25 at 9:47 pm
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