CMS is About to Contact Your ON Exchange Clients

[houcoogster]

Only if you're subsidy eligible and you use APTC to buy a bronze plan.

Silver plan purchase should stay flat as they age.

Not trying to start an argument but just so we understand. If a person as the lowest silver and it has a 15% rate increase and the slcsp has a 25% rate increase and they are one year older is it not conceivable they would actually pay less considering 150% fpl stayed the same? Considering the subsidy is calculated off the Slcsp.

 

[Yagents]

Not trying to start an argument but just so we understand. If a person as the lowest silver and it has a 15% rate increase and the slcsp has a 25% rate increase and they are one year older is it not conceivable they would actually pay less considering 150% fpl stayed the same? Considering the subsidy is calculated off the Slcsp.

In your scenario (which won't happen because some other carrier would become the new SLCSP)........yes, the price would go down if the SLCSP goes up that much. Their subsidy will go up the equivalent 25% (due to cap on income requirements at 150 FPL), and they would buy a the cheapest silver which now has a larger price disparity.

So, I should add, beyond buying a bronze, you could also purchase the LOWEST cost silver and achieve the same outcome.

 

[Ann H]

So, bottom line, Nov. 15th to Dec. 15th will be a lot of fun. Every year. Every client.

The most stability will be among clients that chose last year's benchmark plan. They may need to change carriers to stay at "benchmark", but their net premium will be more stable than it is for others.

Some people are banking on the benchmark plan remaining the same every year, but I find that highly unlikely in states that have two or more carriers actively competing for that spot.