Falling between the cracks

4 Comment(s) Posted by Erin Kelly

No matter which side of the health reform debate you fall on, one thing is certain: premiums have been rising sharply, and hard-working American families are struggling to afford the high costs.

A 2009 Families USA study showed that from 2000-2009 health insurance premiums skyrocketed, while wages have remained at a standstill-causing a strain on family budgets.

Thanks to the economy, those lucky enough to keep their jobs often see their share of health insurance premiums go up, while their salary stays the same. Other workers are required to pay more out of pocket for services each year, while still more lose their coverage entirely. As health care costs continue to rise, more and more workers are priced out of job-based coverage. Currently, many of these workers and their families are forced to face the wild west of the individual insurance market or go without coverage entirely.

Because of health reform, however, Americans are no longer left out in the cold when it comes to purchasing coverage. Those who make too much to qualify for Medicaid but cannot afford the high cost of insurance in the individual market will finally get the relief they've been waiting for. And those who have ever been sick and have seen their premiums unfairly jacked up will now be eligible to receive financial assistance-so no one will be priced out of the system.

The Kaiser Family Foundation has a cool calculator that allows you to plug in information about your family and income to figure out if you're eligible for a government subsidy. All you have to do is answer a couple of easy questions.

Before health reform, millions of Americans were priced out of the system and fell through the cracks. Now, hard-working, middle-class families can rest assured that they finally have a safety net that will catch them when they need it.

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Comments

  1. wesley darnold's avatar

    wesley darnold

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    Just want to know who determines what is affordable, if my family of 4 makes 45,000, how much will I be paying each month, and if my income falls, how long will it take to change my affordable rate. Will it become necessary for my to make less delibertaly in order to fall into my assesment of affordable insurance.
  2. Erin's avatar

    Erin

    Permalink
    Hi Wesley,

    Beginning in 2014, your family will be eligible for a premium credit to help with the cost of health insurance through the exchanges. Based on your income, your family would also be eligible for help with cost-sharing, such as deductibles, copayments, and co-insurance, and a reduced annual cap on out-of-pocket costs. Together, these provisions will help to make both premiums and cost-sharing more affordable. If your income drops during the year once you're enrolled in the exchange and receiving this help, you will simply have to report this change in income to the exchange and your premium credit and cost-sharing help will be increased.
  3. Pamela's avatar

    Pamela

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    We have had to take out all our roth IRA to pay for my husbands operation even with our health care because we can only afford a higher deductible. He may be laid up for several months. We are self employed and work together in construction so this is a terrible hardship on us. Where is the health care we were promised that paid for our health. We may not be able to make our bills because of this. If we had health care that paid for our needs we could pay for our personal bills with that money but instead we have to use most of it to pay for the operation. IT's not been a good few years as it is for remodeling which is our business so our reserves were pretty depleted already. I am very frustrated. We pay for everyone elses health care in medicaid and medicare but we have no help for ourselves. I feel like we are being squeezed out. WE may just have to drop our health care all together so we can at least have that extra to help with bills once the operation is done. Our deductible is higher than the operation will be but just in case there are complications we will keep it for now. It's not even in a hospital just a clinic and still will be over $10,000. His other arem needs to be done in the future as well but we don't have any savings to do it and if something else happens we are simply out of luck. We were really hopeful when it was first talked about but now with the picking through of it there is nothing left that will help us as far as I can see and millions like us as well.
  4. Clarence A. Clemons's avatar

    Clarence A. Clemons

    Permalink
    The calculator leaves me confused. We are a family of 2 making 19,260/yr. Employer insurance premiums would take half of my salary every two weeks. The calculator only allowed me to select single adult or family of four. Am I still falling through the cracks and have to do without coverage? We need coverage, my wife has chronic glomular nephrosis.

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