This tool illustrates premiums and government assistance under the types of reform proposals being considered in Congress for people under age 65 who purchase coverage on their own in an Exchange and are not covered through their employer, Medicare or Medicaid. While the proposals considered would not take effect for several years (2013 in the House and 2014 in the Senate), the results are presented in terms of 2009 premium and income levels to enable better comparisons to current circumstances. The tool allows the user to start with the provisions from one of several proposals and examine the impact at different income levels. Advanced settings allow users to change assumptions to show the effect of different policy choices.
A few caveats:
- Specific subsidies for cost sharing and what people might pay out-of-pocket for deductibles and coinsurance are not illustrated on the calculator.
- In many cases coverage will be more comprehensive and accessible than what is typically available today in the non-group market, so premiums cannot easily be compared to what people buying insurance on their own are now paying.
- The calculator does not apply to people with coverage available through an employer, where the firm is generally paying for a substantial portion of the insurance premium.
Choose a proposal Enter income as: Dollars % of poverty Enter annual income here: Or, Enter age of policyholder here (19-64): Choose family type here: Is employer coverage available? Regional cost factor:
Actual annual plan premium: (age factor = ) Cap on premium as % of income: Person/family premium payment: % of total premium paid by person/family: Person/family payment as % of income: Government subsidy: Click here for tables showing results by income and age
Senate Leadership Bill Tables by Income and Age What the Person/Family Pays 20 30 40 50 60 100% 125% 150% 175% 200% 225% 250% 275% 300% 325% 350% 375% 400% 425% 450% 475% 500% 525% Subsidy Amounts 20 30 40 50 60 100% 125% 150% 175% 200% 225% 250% 275% 300% 325% 350% 375% 400% 425% 450% 475% 500% 525% Percent of Premium Paid by Person/Family 20 30 40 50 60 100% 125% 150% 175% 200% 225% 250% 275% 300% 325% 350% 375% 400% 425% 450% 475% 500% 525%
Advanced settings: Click here to view or change policy parameters
Policy Parameters Allowed premium variation by age: to 1 Medicaid eligibility below: 133 % of poverty Maximum family payment for income 100-133% of poverty: % of income For income at: 150 % of poverty Maximum family payment of: % of income Subsidies phase out at: % of poverty Maximum family payment of: % of income For income up to: % of poverty Maximum family payment of: % of income Maximum income (% of poverty) for subsidies: At income of… Maximum Family Payment of… 133% of poverty % of income 150% of poverty % of income 200% of poverty % of income 250% of poverty % of income 300% of poverty % of income 350% of poverty % of income 400% of poverty % of income 450% of poverty % of income 500% of poverty % of income Click here for a list of frequently asked questions about the calculator
For more information: A side-by-side comparison of Congressional health reform proposals and a brief explaining how subsidies work are availableSource: Kaiser Family Foundation calculations.
H/t to Daily Kos.
Tuesday, December 29, 2009
"Health Reform Subsidy Calculator"
Kaiser Family Foundation: