Price Checking Obamacare

Finally got to price check Obamacare, although I’m not eligible as my employer offers insurance.

Currently, I pay $351.46 a month, or $4217.52 a year.

I can get a ‘silver plan’ for $7530. I would qualify for a 12% subsidy of $936, bringing my annual price down to $6594, or $549 a month. This is about $200 dollars a month more that what I pay now.

The ‘bronze plan’ is $4214 a year or $351 a month, exactly what I pay now until the subsidy is subtracted. The plan would then be $3709, or 309 a month.
But what is most interesting is that the price I pay now for insurance is not the whole cost of my coverage. My employer picks up the rest, like most employers do. The cost of my insurance is actually $17,124.82 a year.

So where did all the money go? What happened to that other $13,000?
I timed out on the gold an platinum plans . I really want to see what those prices are like.

For a full comparison, what coverage level is provided by your current plan? 90/10? 80/20? 70/30? 60/40?

Out of pocket limit?

I wanted to, but forgot to, add that I’d really like to get away from my employer’s plan.

We have to get ‘biometrics’ done to get insurance where I work every year. Height, weight, BMI, blood pressure, and then get blood work to buy insurance. The blood work is for 3 cholesterols, hemoglobin A1C, nicotine (and its metabolites), and one more thing I forgot.

I really resent giving my blood to my employer. It feels very intrusive and the blanket consent allows them the liberty to test my blood for whatever they feel like. They have not to my knowledge tested employee blood for drugs, alcohol, genetics, or any other thing, but there is nothing but cost to prevent them from doing so. The disclaimer also states that I can opt out of the blood draw, but it will cost me $650.00 in additional premiums and I will only qualify for the lowest level of insurance coverage. So, it’s not like I really have too much choice about the matter.

75/25%.
Annual deductible $900 individual and $1400 family.
Out of pocket $5000 individual and $10,000 family.

I also have deductibles for prescriptions of $150 individual and $300 family.

Under Obamacare, qualified planes offer

Bronze: 60/40 split.
Silver: 70/30
Gold: 80/20
Platinum: 90/10

For 2014 the out of pocket max is no more than $6350 (individual) / $12700 (family). Some plans may offer a lower OOP limit.

So it seems your current employer provided plan is between Silver and Gold levels, with a lower OOP. And with your employer’s contribution to the premium you might come out ahead to stay that route.

Don’t forget to compare your current employer plan with the ACA “Ten Essential Benefits”. Next year, I think most employer plans must include them as well but they might already be included.

What State? Is it operating its own Exchange, or are you limited to the Federal Exchange?

How many are covered by these plans?

I’m in Texas, and I’m a family of 4; 2 adults, 2 kids. I can’t buy because my employer provides insurance.

At my old company, we got a discount for having similar testing done. We could do it on site, and they would give us the results. Or we could do it at our own doctor’s office, and all the company ever knew was that it was done. They didn’t get the results. Any chance you can get away with that?