Something I Didn’t Know

Those who purchase coverage outside the exchanges cannot claim subsidies, even if they qualify for them, according to the Centers for Medicare and Medicaid Services, the agency overseeing implementation of the ACA. warning-mass-confusion-aheadAutomatic enrollment directly through an insurer would avoid the exchanges, and the subsidies, entirely. (Time)

This means that the 14 million people who currently have individual insurance don’t get subsidies if they stay in a grandfathered plan or if they are enrolled by their insurer into a new ACA-compliant plan. How does that make any sense????

Comments (18)

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  1. Billy says:

    It makes perfect sense if you realize their plan is to force everyone onto the exchanges.

  2. Perry says:

    So, if you like your plan you don’t get to keep it, plus if you want subsidies you have to enroll in our plan with all kinds of amenities you may not need, and for probably higher costs—-Nice!

  3. Kevin says:

    Because of that lawsuit, even enrolling on the exchanges might not be enough to get the subsidies.

  4. Wilbur says:

    Is anyone else struck by the idea that 14 out of 330 million is a rather low percentage? I expected more people to have individual insurance.

  5. John Cunningham says:

    you have to start by realizing that the real purpose of Obamacare is to crush all private insurance companies, so that govt care is the only alternative. then, subsidies and rates can be fiddled with, friends favored, evil tea party types get their info “lost,” etc. all the insurance company jobs will vanish, to be replaced by unionized govt employees. the bureaucracy will be loaded with consultant and deputy jobs for party loyalists. a perfect solution for the Party!

  6. Stewart T. says:

    You don’t need subsidies to afford the plan you already pay for, so why should you get them?

  7. Tom G. says:

    If they relied on the website to get them, then they’d be in the same boat as everyone else.

  8. Technically (and Oklahoma is suing over the IRS rule contradicting this) the subsidies ONLY apply in state run exchanges, of which there are relatively few. But they’re going to try to make them active in all the exchanges, despite the law’s clear use of those to incentivize states to run their own exchanges. So this is consistent with that part of the law. Plus the subsidies are going to be administered via the exchange, which makes it kind of difficult to offer them for plans that go outside the exchange, except as a tax credit after the fact (which I would almost have to assume will still be available because I don’t know how they’d avoid it with common 1040 forms).