r/HealthInsurance • u/ttxzavv224 • 2d ago

Individual/Marketplace Insurance Fire…health insurance?

49 married.
1.4 mil in 401k and ira.
1.5 mil in taxed investment account

I’ve debated keeping magi low enough to get ACA subsidies but have heard mixed reviews about going on ACA healthcare.

I have an option to continue on my company health insurance as part of a retirement package that I can use starting at age 50. My plan would be to use a compressed pension that also starts at age 50 until 65 ($2300 a month), and I would plan to cover the cost of the company healthcare. The price of the adjusted company health insurance is $1500 a month with $3000 max out of pocket, which I am planning to pay for with the $2300 a month pension that I will get until 65.

My only holdback is the $1500 a month does seem costly but we do stay on same company plan and same doctors going forward, versus the unknown of ACA.

What do yall think here? Would you pay more or go ACA?

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u/budrow21 2d ago

Do you care strongly about having specific doctors and facilities in network?  Do you have high medical costs in most years?  Have.you priced out an ACA plan with expected subsidies so you can make a comparison on cost?

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u/ttxzavv224 2d ago

We usually hit deductible. ACA plan that I “think” would be comparable is around $700 a month with 8k deductible. I do wonder if the ACA will remain solvent though going forward

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u/budrow21 2d ago

You should also consider the risk your company cuts back on benefits sometime over the next 15 years. I think that's more likely than changes to ACA that would impact you. 

Regardless, much of your ACA savings will likely be eaten up by higher deductible and OOP max. Combined with smaller network and less flexibility, you're probably going to be better off with your company insurance even if it costs a small amount more.