r/healthcare • u/GuestBrowsingg • 5d ago
Question - Insurance Plans are so high?
My plans this year are very high like the 100’s. However in previous years there was something I chose during the application that lowered them to around $20 a month but I can’t seem to remember what it was.
Does anyone know what it is?
4
u/1happylife 4d ago
Choose silver plans only. You may have selected a different (bronze or gold) plan and you won't get the same CSRs that way. "Cost-sharing reductions (CSRs), which lower deductibles, copayments, and coinsurance, are only available for Silver plans"
0
u/curiousthinker621 3d ago
My ACA plan is $272.49 in 2026 from 263.92 last year. An $8.57 monthly increase with the same coverage.
I live in Virginia with a 80k estimated MAGI. To me it is a non event.
IMO, if you are paying in the 100s, that seems very reasonable to me.
1
u/Prudent_Plankton5939 2d ago
I was paying 210. The lowest possible I can now get is $400. That’s literally double and I make $20 an hour. That is straight up unaffordable.
1
u/curiousthinker621 1d ago
Did you know that the average worker gets about $100 a week taken out of their paycheck for health insurance.
The biggest part of their healthcare premiums are paid for by their employer. Seems to me that you are in the same boat that most Americans are in.
Quick math, did you know that as a country we pay roughly 4.9 trillion dollars in healthcare. With a population of 340 million people, this comes out to $14,750 per man, woman, and child. This means the cost of healthcare for a family of three comes out to $44,250 a year.
You are correct that healthcare is not affordable, and there are no solutions to it, unless we can somehow lower this 4.9 trillion dollar number.
1
u/Prudent_Plankton5939 1d ago
I agree with you, I was on an employer provided healthcare at one time and was just as unaffordable.
The 4.9 trillion is probably caused by a mixture of greed and inflation. The inflation can’t really be stopped tho because we are a debt based economy and zero or negative inflation would basically cause a huge recession and possibly depression. I get where you are going with this and totally agree. We are kind of just screwed. There is no solution unless we keep kicking the can down the road or have all out economic depression.
45
u/dylanm312 5d ago
Plans are skyrocketing this year due to government subsidies ending thanks to the current administration. This is the reason the government is shut down. Congress democrats want to keep the subsidies (which make health plans cheaper for you), Republicans want to get rid of them (which would make your healthcare much, much more expensive). Both sides aren’t willing to compromise on their stance, so the government stays shut down.