ACA and cliff

[Dtail]

Quote:

Originally Posted by golfnut My wife and I are covered by an ACA plan. 2/3 years ago, we explored getting our son (then 22 years old) covered under our plan, He was not allowed to because - made too much money (approx. $12,000). - Also a part time college student He also could not get a solo ACA plan because his salary was below the ACA min.approx. $16,000. His only alternative was Medicaid. We live in Illinois.

Yes, since my brother lives in FLA, he can't even go on Medicaid, so I came up with my alternate plan.

[gauss]

Hopefully you will be able to claim the PTC for both of your policies on your 1040. The details will be in how the 1095-A(s) are issued.

-gauss

[Dtail]

Quote:

Originally Posted by gauss Hopefully you will be able to claim the PTC for both of your policies on your 1040. The details will be in how the 1095-A(s) are issued. -gauss

Yes, agree. I plan on meeting with my tax guy and calling Healthcare soon on this concept.
Thank you gauss for all your responses.

[rodi]

Quote:

Originally Posted by ivinsfan It's not a nitpick because in some cases separate plans would be desirable, I had a in-law family in this situation. We did some reading that indicted you could have different plans but at MNSure signup were told no it's not an option. I think Rodi did something like this on covered California but don't remember the details. Oh wait she enrolled thru the CC and paid full cost for her DH and got some money back when she filed her tax return.

Covered CA has improved - but for the first several years all family members needed to be on the same insurance in order to get premium tax credits up front. So we, ahem, "overestimated" our income so we did not appear to qualify for the premium tax credit.... and paid full freight during the year.... Then got it all back at tax time since our MAGI at tax time was substantially lower than our 'original estimate'. The subsidies were by family - but the software didn't allow families with subsidies to be on more than one plan.

(My husband did not want to be on the same insurance as the kids and I because his doctor wasn't a Kaiser Permanente doctor.)

I complained about this each year - and was told they were working on it. They fixed it by enrollment for 2017.

2017 was the first year we didn't have this issue - my husband went on Medicare the beginning of 2017.

But I still have to 'overestimate' our income because Covered CA seems to think the kids are borderline qualifying for mediCAL (CA's medicaid). They don't - but it's a 2 months of proving that to them while the kids are in medical insurance limbo. It all works out at tax time... so it's all good.

[S103462]

Quote:

Originally Posted by ShokWaveRider My Personal Healthcare costs under ACA are $0 pm. premium due to my MAGI Management for the Silver plan with $10 PCP Copay and $35 Specialist Copay, with $2250 Max OOP. No Deductible. With Medicare (Coming up Later this year) it goes up to about $350 pm. with a Part "F" Supplement. Not sure what deductibles or Copays or Max OOPs are when on Medicare, or even if there are any. That is a lot more than ACA. But it is what it is, at least it remains relatively constant and a lot less volatile.

Doesn't your Part "F" Supplement pay both your Part A & B deductibles?

[augam]

“Member of Household “ how is that defined. Must be income limits? Age? Kids attending college?

[HadEnuff]

I'm going through this right now. My Medicare eligibility starts 9-1, and DW is 4 years younger than I.

Our cost for her single policy (premium-minus-subsidy) will go up $90, for identical coverage, over what we paid for that coverage for the two of us.

In addition of course, I will now pay for Medicare Parts B, D and G. However, my deductible will decrease.

[aja8888]

Quote:

Originally Posted by ShokWaveRider With Medicare (Coming up Later this year) it goes up to about $350 pm. with a Part "F" Supplement. Not sure what deductibles or Copays or Max OOPs are when on Medicare, or even if there are any. That is a lot more than ACA. But it is what it is, at least it remains relatively constant and a lot less volatile.

Full Part F (not high deductible F) Supp pays all medical deductibles under A & B. Part D (drug plan) is stand alone.

[Dtail]

Quote:

Originally Posted by gauss Hopefully you will be able to claim the PTC for both of your policies on your 1040. The details will be in how the 1095-A(s) are issued. -gauss

Bumping up this thread.
Good news in that both my brother and I were issued 1095-A statements and each one of us will be able to claim the full tax subsidy on each of our returns.