Obamacare Exchange in Texas update (with subsidy calculator)

An update from our official Obamacare Exchange investigator:

Links for one of the insurance aggregators and a calculator for the tax subsidies to offset the premiums http://www.ehealthinsurance.com  for Texas all you get is basically BC/BS

Tax subsidy calculatorhttp://kff.org/interactive/subsidy-calculator/

One of the things I haven’t been able to find out yet is when they talk about income, whether it is gross income or AGI. I’m inclined to believe it is gross  income.

A quick rundown of example coverage for my wife & I together would be:

  • Plan: Silver
  • Tobacco: No
  • Provider: Blue Cross / Blue Shield
  • Deductible 3000 personal – $9000 family
  • Rx Coverage: Yes
  • Dental: No
  • Vision: No
  • Monthly Premium: $1,145.00
  • Annual Premium: $13,740.00
  • 2014 Tax Subsidy: $4,574.00

Net Annual Premium after Subsidy: $9166.00 Net Monthly Premium after subsidy: $763.83

Penalties for not being covered

  • 2014: $1200.00 (  $95 per person or 1% of income whichever is higher)
  • 2015: $2400.00 ( $325 per person or 2% “”   “”)
  • 2016: $3000.00 ( $695 per person or 2.5%  “”    “”)

Of course this is before we are rated due to the Type II Diabetes and other sundry maladies we have previously had. Obamacare just made them take us – never said they couldn’t charge more.

We are currently paying together about $919 a month for $2000 deductible, $7k out of pocket with Rx, no vision or dental.

I’m guessing by the time we are rated we will easily be paying that “after subsidies” – so the overall increase will be around 40% more before subsidies.

The other notable thing about the BC/BS quote was the rates were only good for 6 months.

If I find some more aggregators I’ll let you know


Pratt on Texas official Obamacare Exchange investigator (guinea pig)!


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