Dec 15th is the deadline to enroll in ACA plans (later in many states)

If you make between 100-200% of the federal poverty line, you're probably best off with a Silver plan

Between 200-400%, you're probably best off with a Gold or Bronze

Above 400%, Bronze is likely best
In the 100-200% range ($12,760-$25,520 for an individual, $26,200-$52,400 for a family of four), you get Cost Sharing Reduction payments. You probably qualify for a free Bronze plan, but silver will most likely be a better deal healthaffairs.org/doi/full/10.13…
From 200-400% FPL (up to $51,040 for an individual, $104,800 for a family of four), you're probably better off with a Bronze plan, but there's a chance that silver loading has made Gold plans particularly cheap (sometimes less than Silver), in which case it's probably worth it
About 400% FPL, Bronze plan will almost always be the best deal for you, even though they're not great
xpostfactoid.blogspot.com/2019/09/unsubs…
Important to note this only applies to the ACA exchanges (healthcare dot gov, and the various state run exchange websites). This does not apply to employer provided insurance
Also, if you're already in a plan, you should check the exchanges again. In an ideal world you shouldn't have to think about any of this at all, but there's a real chance you can switch plans and save money, don't just let it autorenew
Below the poverty line, you are ineligible for ACA subsidies, so Medicaid is definitely your best bet (though you may be in a very tough spot if you're in a non-expansion state)
If you're under 30, and above 400% FPL, go with a catastrophic rather than Bronze plan

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More from @jdcmedlock

8 Dec
After Covid, we should have a medical debt jubilee
Crazy stat: a majority of the civil arrests in eastern Idaho are over medical debt eastidahonews.com/2019/05/why-so…
27 year olds are the most likely age group to have medical debt, likely in part because that's the year people are removed from their parents health insurance healthaffairs.org/doi/abs/10.137…
Read 4 tweets
24 Nov
Good. If the left has any leverage on staffing, it should be used against Bruce “end welfare as we know it” Reed
He was a key architect of welfare reform, and he said as recently as 2016 that he still thought it was a success. In 2004 he bragged about how he had outflanked the GOP on support for work requirements
This is the most bizarre contrarianism
Read 4 tweets
23 Nov
I sometimes check on this guy, and it's always pretty depressing. The "selling pep talks about how to grind your way to getting rich" industry is one of the worst grifts
The commodification of being a Winner Image
Read 4 tweets
23 Nov
Conservatives want people to be dependent on family based welfare, while social democratic policy is about freeing people from reliance on family support to increase capacity for individual independence Image
If we must rely on the family, I propose we all marry each other, as a society
Read 4 tweets
19 Nov
We shouldn’t fetishize small business and we should also enforce antitrust more effectively. These don’t have to be conflicting views
I’m sort of a class traitor, as a small business person, but I really do think the idea that everyone should own a little business is bad - for one thing, I suspect asset ownership and status as an employer is connected to more conservative views
And for whatever reason, they do seem less likely to be unionized, and harder (at least politically) to regulate (see all the exemptions in the ACA for small businesses).
Read 5 tweets
18 Nov
Just getting around to reading this from @mattyglesias and it’s very much in line with what I’ve been thinking about lately given dim prospects at the federal level. We need to do big things in blue states! slowboring.com/p/make-blue-am…
Housing shortages lead to tax fatigue. Building more housing will not only expand the tax base, but I think it’ll make blue state tax increases more palatable
Treating public infrastructure as more of a jobs program than a way of efficiently providing public goods undermines faith in government and makes less room for other spending (esp at state level)
Read 5 tweets

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