Category Archives: Health Reform/ Affordable Care Act

Obamacare: Can’t afford plan, what now?

I’m self-employed and earn little. I can no longer afford health insurance premiums. What should I do? Does your AGI from last year affect your options, whatever they are? Mine was less than 20K.   I have BCBS and continued the same plan I had before. Deductible about $10,000 aside from the premium. I’m afraid to […]

Obamacare: why insurers give money back/ medical loss ratio rules

What is the medical loss ratio?  And why is it part of health reform? Math Geek Dear Math Geek, The medical loss ratio is the proportion of the health plan’s revenues (income from plan members) that are spent on medical care — hospital bills, doctor bills, etc.  Insurers get to throw other things into this […]

Obamacare: health care still too costly

My 34-year-old daughter (she is single) owned a business. It did not succeed. After closing the business January 1st, it took her 3 1/2 months to find a job. Before finding the job she applied for ObamaCare. Her coverage kicks in May 1st but she will be forced to cancel it because the job she […]

Obamacare: on the edge between private plan and Medicaid

I live in California, am single, and have no children.  I can only find part-time work, and make about $13,000 a year.  Someone told me that if I could get my income higher, I could get regular health insurance instead of being put on Medicaid.  Regular insurance sounds a lot better.  I hear that almost […]

Obamacare: options for single parent in California

How do I find an affordable health plan as a single parent in California?  Dude and Dad Dear Dude and Dad, If you do not have an employer plan offered to you, your first stop is  Covered California™ | Affordable Health Insurance which is your state’s health insurance “exchange”.    There, you will answer basic […]

Obamacare: have to sign up for plan before coverage starts

When doctors provide free health care to patients who cannot afford to pay and do not have insurance, should the healthcare provider require that the patient sign up for ACA insurance (or Medicare/Medicaid) within X days in lieu of a bill? Inquisitive in Indiana Dear Inquisitive in Indiana, Almost no health insurer will sell a […]

Obamacare: short term disability benefit can be “income”

Is employer based short-term disability payments (Sickpay) reportable income on Obamacare? Kim in Michigan Dear Kim, The answer is “it depends”. If your short term disability plan is entirely paid for by your employer, then the benefit (sick pay) would be taxable income. If you pay for the plan in after-tax dollars, then the benefit […]