Comment by geerlingguy
3 hours ago
I was paying around $1200/month last year (a little under that with subsidy).
This year I'm paying $2100/month for a family of five, on a roughly equivalent plan. Except, none of the options in my state allow me to visit the PCP I switched to this year (since none of the plans last year covered my PCP from the year before).
So I guess I'm on a primary care physician merry go round :D
I am at least able to have my main specialty doctor and the drug I take to keep me in remission from Crohn's disease, and my kids' pediatrician is covered.
But I can't imagine what people have to sacrifice to keep any kind of coverage (with high deductible and horrible coinsurance and prescription drug coverage) for their families if they don't have a decent income :(
> But I can't imagine what people have to sacrifice to keep any kind of coverage (with high deductible and horrible coinsurance and prescription drug coverage) for their families if they don't have a decent income :(
These increases are specifically a lapse in subsidies for high earners -- those with a "decent income." People under 400% of Federal Poverty Level still qualify for the subsidies. And it's a relatively recent policy change to roll back; we didn't have this subsidy from 2010-2020.
This is not specifically just a lapse in subsidies for high earners, this is for everyone which is telling how little people actually understand what will happen when the subsidies expire.
The enhanced subsidizes made it so people earning more than 400% FPL were also eligible for subsidies, but also more importantly increased the cap on how much income insurance could cost. In reality, most people would see their insurance costs double if the subsidys expired [1].
[1] https://www.kff.org/affordable-care-act/aca-marketplace-prem...
I take Remicade for UC on a monthly cadence. From $500 to now $1300/m for 2 in TX, and an added bonus of a 10% lab coPay + All kinds of fees.
I am Blessed running a good startup but I've always felt this deeply.... "But I can't imagine what people have to sacrifice to keep any kind of coverage (with high deductible and horrible coinsurance and prescription drug coverage) for their families if they don't have a decent income :("
You go without coverage of course. Unfortunately.
(It's getting late, Jeff. I'm heading to bed myself.)
I'm so, so sorry to hear this. Can you share which state you're in?
My man, this is the Raspberry Pi guy, Jeff Greeling. He lives in St. Louis, MO.
He is a god, and we mere mortals.
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Excuse me, but how in the world were you able to afford 1200/month, you know that's like cheap rent right?
If you're getting health insurance through your employer, that's a pretty standard price (counting both your contribution and your employer's together).
I'm probably going to be self employed for 2026 and a cheap-ish (not the cheapest, but probably below the average) plan for my family is going to be a little under $1500 / month.
It's pre-tax money, which helps a wee bit, but it is definitely expensive. If I made less money, I'd qualify for subsidies, but I don't, so that's just something that needs to be paid in full unfortunately.
That’s absolutely not an exception.
I’m in Germany, and for a family of four, the public healthcare system, covering my wife and my two kids costs us around 2,200€ per month. The company pays half.
A switch to a private insurance would lower the costs around half.
I was under the impression that German healthcare was essentially free (government funded) at the point of delivery, with additional top-insurance carried by most people similar to how it is in here in France.
Here I am self-employed and pay about 100 euros a month in top-up insurance (mutuelle) for myself and a couple of kids. Of course, the healthcare costs more, that’s why my taxes are high; but the insurance cost is about €1200 a year, not €2200 a month.
My Employer sponsored supposedly nice insurance (I say supposedly because they keep being a pain in the ass for pretty much everything) is $200+ per paycheck for me and my spouse, i.e. ~$450/month. That is after my employer covers most of the cost. This stuff is ridiculous.
You're still allowed to visit the same PCP although it might not be covered, or covered out-of-network with a higher patient responsibility.