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My focus is Medicare so I know just a little about how IFP plans work in the ACA world. I run into a fair amount of turning 65 people who have younger spouses on individual plans that are pre-ACA. Yesterday I met a couple who are paying about $450 per month for a $7.5K deductible plan, $10K max OOP they got about five years ago (a Bronze PPO plan would run them about $650-700 each). Carrier told them they could keep it. Husband's Medicare starts today, wife is nervous that they'll rewrite hers as a compliant plan and her rates will go way up. They were nervous enough that they were considering him not taking Medicare (income puts them at top tier for Part B premium so his cost for Part B, Medigap, and Rx would be higher than what he's paying now, though for much better coverage). He did enroll in Medicare and Medigap after we went over the penalties for not taking Part B when first eligible.
So, just what are the implications for the younger spouse? Aren't there tax penalties in store for their not being in an ACA-compliant plan? Is there a chance she will be able to keep her pre-ACA coverage now that he's coming off of it? If it matters, she is the primary insured on that coverage. Thanks in advance for any input.
So, just what are the implications for the younger spouse? Aren't there tax penalties in store for their not being in an ACA-compliant plan? Is there a chance she will be able to keep her pre-ACA coverage now that he's coming off of it? If it matters, she is the primary insured on that coverage. Thanks in advance for any input.