- 5 years ago
- Wedding: September 2014
This is NOT a post meant to be political. I personally support the ACA even though it might cause me a few issues in a year, but I’m hoping some bees that either have the same issue or are familiar with how this law will work will respond.
Going without insurance and paying the penalty is NOT an option.
Going forward: Right now I work halftime. I live rurally. My Fiance goes to graduate school (fully funded) and gets his insurance paid for through school (no premiums, no cost to go to the health center, never gets sick, OF COURSE!). Right now I qualify for Medicaid. I will be purchasing insurance on the exchange in my state and receiving federal subsidies. This is GREAT. I have a few health issues that I am working on resolving and going without insurance is impossible. I will be 25 in 2014. My parents’ insurance has a high deductible and even when they pay the premium to keep me on, it is still expensive and few doctors where I live accept it. This is why I was dropped from their insurance.
HOWEVER. I will be getting married in September 2014, less than 3 months before I turn 26 and am ineligible for their insurance, anyway. My Fiance can add me to his insurance as a spouse, however this is $4,000/year, payable in 3 installments (which means at least $1000 each go). My current half time job expires in August (right before the wedding). I hope to have a full time job with benefits by that time, however, options are limited, there are only a few large employers where I live. It’s really depressing (I need therapy because I’m depressed and poor and I don’t have a job… which has benefits that helps pay for therapy), I have a Master’s degree and a ton of experience, the right job in my field and fits my qualifications just isn’t here yet. My half-time job right now is in my field and it’s great and I know I would be hired in the department if the position and money were there!
IF I continued to be unmarried, unemployed (or partially employed with or without benefits– if WITH then considered to be unaffordable– 9.5% of income based on individual coverage)- I would qualify for either Medicaid or buying insurance on the exchange. This would be fantastic. The rates would be adjusted based on my income and I could get a quality insurance plan that covers many services I use frequently, such as therapy, PCP visits, naturopathic visits. HOWEVER. This affordabilty clause I am learning, only applies to INDIVIDUALS since it is an INDIVIDUAL MANDATE. Since I would be a spouse on my FI’s plan, the question of affordability is irrelevant. It could be $10,000 but since family coverage is not considered, I could not buy affordable insurance on the exchange because I would be “eligible” for FI’s graduate student plan (of which its coverage I need to investigate).
Bees, I realize I have a year to find a job. I’m trying to understand this so I can make the right decisions. However, it looks like unless I can get a job with benefits (if it’s unaffordable that’s fine then I would qualify for the exchange), I’m going to have to pay $4,000/year. I realize that I could go back to my parents’ plan until I turned 26 for those 2 months to give me a little extra time to find a job. And yes, maybe I’m worrying for no reason and I’ll get a job next month. I’m trying to understand the law, curious why it leaves families (spouses and children) legit screwed, and I’m hoping to hear from perhaps bees who do not receive health insurance through their own work, and perhaps have a family that needs coverage, too, on a student health plan while their spouses are doing their Ph.D.s. He will not be graduating for a long time, so this is not a temporary concern. How do families with children manage these costs if one parent stays home?
I’m realizing now, if by August I don’t have another job, should we even get married legally in September? I want to, but if it’s going to cost us thousands of dollars, I don’t see how it’s a smart idea 🙁