A 35-45 year old couple with 2 children has health coverage. It costs $500/mo. ($6,000/year).They have a $2000 deductable which means they must have medical bills exceeding $8000 to get any benefit. They have modest co-pays of $2-$15 for doctor visits,tests,meds.,etc.They did not include mental health coverage,long term coverage,or maternity coverages.
Their insurer has terminated their policy effective Dec.1.Their policy does not include the coverages they opted out from and therefore,does not meet Obamacare minimums.
Their insurer has offered a compliant plan. The deductible has been increased to $4500.their premium will be $1100/mo.This means they must incur a medical expense greater than $17,700 in order to receive a dime in pay-outs.
The vast majority of illnesses and injuries do NOT reach or exceed that amount and the couple will be unikely to receive any benefit from their policy.
They live in a populated state and will get several quotes for coverage.They see that the $17,700 policy is at a typical premium/deductable level.They see that they will receive NO subsidy help because they both work and their combined income is too high.
The Obama admin is stalling providing the real numbers of people actually buying insurance because,I predict,so few people have or will. 85% of coverages received so far are for Medicaid. A "Cadillac" plan that's free and totally taxpayer supported. There are NO premiums. NO deductables, NO co-pays.Free meds. And includes long term care for life.
The penalty for not getting coverage is $95 or 1% of taxable income.I believe that millions of families will opt out,pay the penalty,and self insure.
The Obamacare system will NEVER be anywhere near self-supporting and will require massive taxpayer support in the hundreds of millions of dollars.
That will be at the end of it's death spiral.