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The Price of Bucking Obamacare Is About to Increase—Will People Still Pay It?

On Sunday November 1, health in­sur­ance shop­pers began pick­ing plans, but for those still weigh­ing wheth­er to get covered, there’s an Obama­care pro­vi­sion even more im­port­ant to con­sider than ever be­fore: the in­di­vidu­al man­date.

The fee levied on those who go without in­sur­ance but who can af­ford it sharply in­creases in 2016, a res­ult of a three-year phase-in of the pen­alty. The high­er the fee, health ex­perts say, the like­li­er it is that con­sumers will choose to get or stay covered. But there’s a big caveat: It all de­pends on wheth­er or not un­in­sured Amer­ic­ans, or those think­ing about leav­ing the ex­changes, know about the in­di­vidu­al man­date and its steep fee in­crease.

“The high­er it is, ob­vi­ously the more people we ex­pect will re­spond to it—part of it is it’s been a pro­cess of in­di­vidu­als even re­cog­niz­ing that the man­date was in place,” said Linda Blum­berg, seni­or fel­low at the Urb­an In­sti­tu­te’s Health Policy Cen­ter.

The fee for not hav­ing health in­sur­ance next year won’t be felt un­til Amer­ic­ans file their fed­er­al taxes due April 2017. But it’s much more than in the past: $695 per adult and $347.50 per child, or 2.5 per­cent of a house­hold’s in­come—whichever is high­er. When tax­pay­ers file their 2015 taxes (due this April), the fee for for­go­ing in­sur­ance will be $325 per adult and $162.50 per child, or 2 per­cent of house­hold in­come if the lat­ter fig­ure is high­er.

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Contact Steven G. Cosby, MHSA, Group Health Insurance Broker and Agent with Cosby Insurance Group, with questions or to request more information and to schedule a healthcare plan evaluation, savings analysis or group plan solution for your company.

Cosby Insurance Group Warrenton Health Insurance Broker and Agent