Ohio insurance rates to increase 41 percent due to Obamacare; subsidies may not help (2024)


Ohio insurance rates to increase 41 percent due to Obamacare; subsidies may not help (1)

Here's the latest from the Ohio Department of Insurance:

Health Insurance Premiums to Increase 41 Percent Due to Affordable Care Act

Premiums for Federal Exchange Show Higher Costs for Ohio Consumers and Small Businesses

COLUMBUS — The Ohio Department of Insurance announced today that individual consumers buying health insurance on the federal government's health insurance exchange for Ohio will pay an average of 41 percent more than they did in 2013.

In addition, ODI confirmed previously-released preliminary calculations that insurance companies’ costs to provide individual health coverage will increase by 83 percent.

“Ohio has traditionally had a more competitive health insurance market than other states with a wider range of prices and choices – from simple, high deductible coverage to comprehensive, full service plans,” Lieutenant Governor Mary Taylor said. “That level of diversity is essentially outlawed under Obamacare so Ohio's rates and premiums are going up significantly, and going up more than in other states where prices were already high.”

Wonderful.

So Ohioans had a wide diversity of options and costs and with Obamacare, that much diversity is 'essentially outlawed'???

Did anyone who voted for and supported the Affordable Care Act really think about the implications?

Oh - wait - they had to pass to it to know what was in it. Even Congress doesn't like what it sees in the law and the IRS chief, charged with enforcing it, doesn't like it either.

For individuals plans in Ohio, the average cost is $236.29 per month. That cost will increase to $332.58 in 2014 due to the provisions of the Act.

The ACA is actually driving rates across the country closer together, the press release notes. Since Ohio had lower costs to begin with, we're seeing rate increases that are higher than other states, while some states with higher costs are seeing steady or even lower rates. Since the ACA is really a one-size-fits-all approach, Ohioans are also seeing fewer options when it comes to type of insurance because of the minimum level of coverage mandated by the federal law.

The states were supposed to be the place where innovations and 'experiments' could be tried. If a state was successful with an idea, other states could duplicate it. Conversely, they could avoid failures after seeing them elsewhere. Our federal government was never designed to be this involved in such affairs and the results, perhaps good for some, are very costly for Ohio.

Benjamin Franklin said:

"History affords us many instances of the ruin of states, by the prosecution of measures ill suited to the temper and genius of their people. The ordaining of laws in favor of one part of the nation, to the prejudice and oppression of another, is certainly the most erroneous and mistaken policy. An equal dispensation of protection, rights, privileges, and advantages, is what every part is entitled to, and ought to enjoy... These measures never fail to create great and violent jealousies and animosities between the people favored and the people oppressed; whence a total separation of affections, interests, political obligations, and all manner of connections, by which the whole state is weakened."

Apparently, our federal government took that as a prescription and not a warning when it came to Obamacare...

Ohio insurance rates to increase 41 percent due to Obamacare; subsidies may not help (2)
Photo from NetrootsNation.org

Interestingly, I received an email from ProgressOhio about the latest estimate which said:

** This statement can be attributed in whole or in part to Brian Rothenberg, Executive Director, ProgressOhio.

"It goes against the trends seen in big states and doesn’t include the discounts created by the subsidies. Announcing them without the subsidies is cynical because that’s not how people are going to buy insurance. If the goal is to enroll people, announcing rates without examples of subsidies makes no sense.

It’s not surprising that this is how Republican Lt. Gov. Mary Taylor would handle this. Her well known hatred for the Affordable Care Act is causing her to take an action as the state's insurance commissioner that hurts the people of Ohio. She shouldn’t announce rates without illustrating what that means for real people benefiting from tax credits that can be substantial in some moderate income categories."

It raises a good point about including the offset due to expected subsidies, but it misses the bigger picture regarding the basic concept that taxpayers are seeing increased rates while at the same time paying for others to have those higher rates subsidized.

And the subsidies might not be there for Ohioans.

According to this article in the Washington Free Beacon, the legality of the subsidies is being challenged.

As the article explains, the subsidies were part of the deal for the states to set up exchanges.

The law says that the government can provide subsidies for insurance sold on an “Exchange established by the state.” Thirty-four states have refused to set up their own exchanges, leaving the federal government set them instead.

The Obama administration maintains that the subsidies can be applied to a federal exchange as well, though some legal experts and Republicans in Congress say that's outside the scope of the law.

“When Congress passed the health care act, they presented states a choice,” (Oklahoma Attorney General Scott) Pruitt told the congressmen. “That choice was to establish a state health care exchange or to opt for a federal exchange. The ACA included with that choice a set of consequences and benefits.”

If states opted to create an exchange themselves, then their citizens would receive federal subsidies to buy insurance on the exchange, but employers would also be subject to fines for not offering affordable health insurance, Pruitt argued. However, if they opted against the exchange, they would not receive subsidies and employers would not be subject to fines.

Pruitt has launched a lawsuit against the administration arguing that they do not have the power to offer the subsidies on federally run exchanges. Experts predict that Oklahoma’s lawsuit, if successful, could fatally cripple the law.

Since Ohio did not set up its own exchange, defaulting to the federal one, residents may not see any subsidies if the lawsuit is successful.

Of course, states will then be criticized as being evil, uncaring and 'responsible for deaths' along with all sorts of terrible things for not wanting their residents to have that handout. But if it could "fatally cripple the law," Ohioans would benefit by not having such huge increases in insurance rates while maintaining a large diversity of plan options and costs.

The problem is that no one in Congress writing this law could have the depth of knowledge to re-design an insurance program/health care coverage that will fit the needs of so many people. This is where a free market comes into play.

In a 'free' market, entrepreneurs can create a product or service that fits the needs of some, while not needing to fit the needs of all. Ohio is a good example with our current variety of options that fit a multitude of needs and budgets.

With the federal government, they've decided what everyone must have (forced it upon us, actually) and then told us we'll have to pay for it, even if we don't need or want it.

Well-baby care is an example. My husband and I don't have kids and have no need for well-baby care which includes office visits, immunizations, etc... But that coverage is mandated by the ACA and the state of Ohio. So I'm paying for a portion of insurance that I don't need and will never use. A 'free' market, would give me the option to have a plan that didn't include that at, hopefully, a lesser cost than one that did.

Another example is young people who are generally healthy and don't need a full-service comprehensive plan. In a 'free' market, they could choose something like the old 80-20 insurance plans where routine doctor visits were not covered, but hospital bills for emergencies, injuries or serious illness were covered at 80%.

The Affordable Care Act - Obamacare - has removed those options from us, forcing us to have to what a bunch of bureaucrats in D.C. *think* we need. There is no way they can ever meet individual wants and needs the way a free market does so we are all forced into the one-size-fits-all mandate - and you and I will pay more as a result.

Ohio insurance rates to increase 41 percent due to Obamacare; subsidies may not help (2024)

FAQs

What is the biggest problem with the Affordable Care Act? ›

Impact on Individual Insurance

It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.

What is the highest income to qualify for Obamacare in 2024? ›

The income range is $30,000 to $120,000 in 2024 for a family of four. (Income limits may be higher in Alaska and Hawaii because the federal poverty level is higher in those states.)

How to calculate subsidies for Obamacare? ›

Calculating your subsidies
  1. Compare your income to the federal poverty level. You'll start by figuring out how much you earn compared to the federal poverty level. ...
  2. Determine the most you'll pay for insurance. ...
  3. Find out the cost of a benchmark Silver plan. ...
  4. Subtract how much you're expected to pay from the benchmark rate.
Jan 2, 2024

What disqualifies you from the premium tax credit? ›

To be eligible for the premium tax credit, your household income must be at least 100 percent and, for years other than 2021 and 2022, no more than 400 percent of the federal poverty line for your family size, although there are two exceptions for individuals with household income below 100 percent of the applicable ...

What are the negatives of Obamacare? ›

The ACA has been highly controversial, despite the positive outcomes. Conservatives objected to the tax increases and higher insurance premiums needed to pay for Obamacare. Some people in the healthcare industry are critical of the additional workload and costs placed on medical providers.

Why is the Affordable Care Act bad for the economy? ›

In reviewing evidence over the past five years, this report concludes that the ACA has had no net negative economic impact and, in fact, has likely helped to stimulate growth by contributing to the slower rise in health care costs.

How much is Obamacare a month for a single person? ›

How much does the average person pay for Obamacare? Obamacare costs an average of $584 per month for a 40-year-old with a Silver plan. Your age affects your monthly rates. A 20-year-old pays an average of $443 per month for a Silver plan, while a 60-year-old pays an average of $1,240 per month, before subsidies.

Does Social Security count as income for Obamacare? ›

Include both taxable and non-taxable Social Security income. Enter the full amount before any deductions. Don't include Supplemental Security Income (SSI). Include most IRA and 401k withdrawals.

What are the income limits for Medicaid in Ohio 2024? ›

Family Size Monthly Income* 1 $1,883 2 $2,555 3 $3,228 4 $3,900 5 $4,573 6 $5,245 7 $5,918 8 $6,590 9 $7,263 10 $7,935 Families with monthly incomes higher than the amount in the first column, but lower than the amount in the second column MUST apply if they do not have private health insurance.

Do I have to pay back Obamacare subsidies? ›

If your APTC was more than was actually allowed (generally meaning that you earned more than you projected), the federal government paid excess APTC on your behalf for the previous year. You'll have to repay some or all of that excess amount to the Internal Revenue Service (IRS) when you file your tax return.

What happens if I overestimate my income for marketplace insurance? ›

If your income is more than what you told us on your application, you may have to repay some or all of the advanced premium tax credits that you got.

Does Obamacare consider assets or just income? ›

The Affordable Care Act's (ACA) premium subsidies (premium tax credits) have no asset test. Neither does the expansion of Medicaid under the ACA. In both cases, eligibility is simply based on income.

What is the lowest income to qualify for Obamacare in 2024? ›

Federal Poverty Level (FPL)
Family size2023 income numbers2024 income numbers
For individuals$14,580$15,060
For a family of 2$19,720$20,440
For a family of 3$24,860$25,820
For a family of 4$30,000$31,200
5 more rows

Do you have to pay back tax credit for health insurance? ›

If at the end of the year you've taken more premium tax credit in advance than you're due based on your final income, you'll have to pay back the excess when you file your federal tax return. If you've taken less than you qualify for, you'll get the difference back.

Who is eligible for the premium tax credit in 2024? ›

To be eligible to receive the PTC, individuals must meet the following criteria: • file federal income tax returns; • enroll in a plan through an individual exchange; • have annual household income at or above 100% of the federal poverty level (FPL)5 for tax year 2024;6 and • not be eligible for minimum essential ...

What 2 key issues did the Affordable Care Act address? ›

The Patient Protection and Affordable Care Act (ACA) has 3 main objectives: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions ...

What are some of the current legal challenges of the Affordable Care Act? ›

Six individuals and the owners of two small businesses sued the federal government, arguing that the ACA provision “makes it impossible” for them to purchase health insurance for themselves or their employees that excludes free preventive care. The plaintiffs argue that they do not want or need such care.

Has the Affordable Care Act been successful? ›

The ACA continues to be a successful, popular, and important federal program to millions of people and their families.

What would make the Affordable Care Act better? ›

To make premiums more affordable, policymakers could offer tax credits to people with incomes above the current eligibility threshold and increase the generosity of tax credits for those already eligible. They also could make reinsurance, which protects individual market plans against high medical costs, permanent.

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