Hi, I have a question which I hope you can answer because I am losing my sanity talking to the helpline!
My understanding is that with the ACA you are capped at maximum premium of 8.5% of income (if you are >400%FPL) for 2022. This is for what are classed as benchmark silver plans. We are enrolling on the Mass health connector (their market place), and our income is <400%FPL.
We were offered a subsidy of $780 (yay) but all of the silver plans offered are more than twice what 8.5% of our income is and twice that of what it would be at if capped at 8.5% and our income was just over 400% FPL.
This makes no sense to me and the helpline just says we are not eligible for those plans and they are not offered to us on the marketplace.
Summary: If our income was just over 400%FPL then the 8.5% premium maximum for a benchmark plan would be significantly less than the premiums we are being offered on the marketplace being just under 400%FP. Being told we are not eligible for those plans and so not offered on the marketplace. I thought everybody was eligible for a benchmark plan with the 8.5% cap? How do you get it?
Hope that makes sense
Best
Bob
My understanding is that with the ACA you are capped at maximum premium of 8.5% of income (if you are >400%FPL) for 2022. This is for what are classed as benchmark silver plans. We are enrolling on the Mass health connector (their market place), and our income is <400%FPL.
We were offered a subsidy of $780 (yay) but all of the silver plans offered are more than twice what 8.5% of our income is and twice that of what it would be at if capped at 8.5% and our income was just over 400% FPL.
This makes no sense to me and the helpline just says we are not eligible for those plans and they are not offered to us on the marketplace.
Summary: If our income was just over 400%FPL then the 8.5% premium maximum for a benchmark plan would be significantly less than the premiums we are being offered on the marketplace being just under 400%FP. Being told we are not eligible for those plans and so not offered on the marketplace. I thought everybody was eligible for a benchmark plan with the 8.5% cap? How do you get it?
Hope that makes sense
Best
Bob
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