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-   -   Health Care Costs Pre-medicare (https://www.talkofthevillages.com/forums/medical-health-discussion-94/health-care-costs-pre-medicare-251531/)

tom_sjc 12-29-2017 04:22 PM

Health Care Costs Pre-medicare
 
Hello Villagers,

Thinking of retiring before 65. Would need to purchase health insurance on my own. Anyone have experience on this?

Non-smoking couple age 63/61:

Cost estimate?
Suggested health care insurance companies?
Dental, vision costs?

Presently living in San Jose and have Kaiser through work. They probably offer a Cobra plan; but not sure it would work in FL.

Thanks,

Tom

Bjeanj 12-29-2017 04:54 PM

We were on COBRA when we first moved here from Indiana, for almost the whole 18 months. COBRA ensures you have insurance that your employer offered, but you pay the entire premium, rather than having your company chip in part/all of the cost. So, cost depends on that. I could only guess that COBRA would be less than what you could get as two individuals. One of you should be eligible for Medicare, right?

tom_sjc 12-29-2017 06:53 PM

Sorry, typo, should have had ages as 63/61. So not eligible for medicare.

Paper1 12-29-2017 07:02 PM

Quote:

Originally Posted by tom_sjc (Post 1496804)
Hello Villagers,

Thinking of retiring before 65. Would need to purchase health insurance on my own. Anyone have experience on this?

Non-smoking couple age 63/61:

Cost estimate?
Suggested health care insurance companies?
Dental, vision costs?

Presently living in San Jose and have Kaiser through work. They probably offer a Cobra plan; but not sure it would work in FL.

Thanks,

Tom

There are no bargains out there in healthcare. My wife and I will both be on Medicare as of New Year’s Day. My guess is you will be looking at $1600 a month with $3600 individual deductable maybe more when the changes in Obamacare happen. My advice is to age quickly, at least until you hit 65. Best of luck to you though.

Bjeanj 12-29-2017 07:13 PM

Yeah, I think Paper1 will be close, cost wise after your COBRA runs out.

villagetinker 12-29-2017 07:24 PM

There are some reasonable costs, my step son just got a silver plan for around $100/month. This was through Florida Blue. Hope this helps.

PS if you want to be in the Villages Health, call them BEFORE you make any decisions to see what they accept, and then plan on giving up Medicare if you want to stay in the Villages Health when you turn 65 as they ONLY accept ADVANTAGE plans for those 65 and older......

tom_sjc 12-29-2017 08:23 PM

1600 month, 100/month. That's a big swing.

I thought through my work COBRA was 1300/ month.

Thanks for the responses. On TV web site I see Advantage if eligible for Medicare. But accepts other commercial insurance if under 65. Does that make sense?

biker1 12-29-2017 09:18 PM

Figure $1200 to $2500 per month for the two of you through BC/BS, depending on the plan. If you have access to COBRA that will most likely be your best option. I was in your shoes.

Quote:

Originally Posted by tom_sjc (Post 1496804)
Hello Villagers,

Thinking of retiring before 65. Would need to purchase health insurance on my own. Anyone have experience on this?

Non-smoking couple age 63/61:

Cost estimate?
Suggested health care insurance companies?
Dental, vision costs?

Presently living in San Jose and have Kaiser through work. They probably offer a Cobra plan; but not sure it would work in FL.

Thanks,

Tom


Marathon Man 12-29-2017 09:52 PM

Go to Healthcare.gov. Your income may qualify you for a supplement. That makes the plans affordable.

United Health Care offers some relatively inexpensive plans - not great coverage, but you can weigh your health vs cost and decide on how much risk to take.

Dental and vision coverage - you will need to estimate your total cost for the year and compare to premium cost, deductables, etc.

None of this is fun. I've done it the last two years.

Kahuna32162 12-30-2017 10:01 AM

We are in the same boat, still have a year and a half until 65. Our current provider is Florida Blue for healthcare, Florida Combined Life for Dental and VSP for vision. Total cost is just over $1,500 a month.

rustyp 12-30-2017 10:18 AM

Quote:

Originally Posted by Marathon Man (Post 1496950)
Go to Healthcare.gov. Your income may qualify you for a supplement. That makes the plans affordable.

United Health Care offers some relatively inexpensive plans - not great coverage, but you can weigh your health vs cost and decide on how much risk to take.

Dental and vision coverage - you will need to estimate your total cost for the year and compare to premium cost, deductables, etc.

None of this is fun. I've done it the last two years.

This is true. Under approx $57K joint income you can get assistance and it is substantial the less your income is below $57K. You project your income forward I.E. not based on previous tax year. Be careful if you go over your projection you can get a substantial penalty. There are ways to limit your income like home equity instead of 401K withdrawals.

biker1 12-30-2017 11:12 AM

I don't believe there is any penalty for underestimating your income. You will, of course, have to repay the portion of the subsidy you aren't entitled to but they won't add a penalty.

Quote:

Originally Posted by rustyp (Post 1497136)
This is true. Under approx $57K joint income you can get assistance and it is substantial the less your income is below $57K. You project your income forward I.E. not based on previous tax year. Be careful if you go over your projection you can get a substantial penalty. There are ways to limit your income like home equity instead of 401K withdrawals.


rustyp 12-30-2017 11:16 AM

Quote:

Originally Posted by biker1 (Post 1497144)
I don't believe there is any penalty for underestimating your income. You will, of course, have to repay the portion of the subsidy you aren't entitled to but they won't add a penalty.

I think you are right. One thing I forgot to mention is this process is not painless, You will be hard pressed to find two people representing the .gov give you the same answer.

Marathon Man 12-30-2017 11:20 AM

Quote:

Originally Posted by biker1 (Post 1497144)
I don't believe there is any penalty for underestimating your income. You will, of course, have to repay the portion of the subsidy you aren't entitled to but they won't add a penalty.

Correct. Or, you can choose to apply a percentage of the subsidy to the monthly premiums. The rest is "banked". That way, if you exceed your estimated income, you will not end up writing a check at tax time.

The big concern is to make sure you don't exceed the upper limit. The subsidy will go to zero in one big jump and you will have a big tax bill.

biker1 12-30-2017 11:25 AM

There is a BC/BS office on one of the side streets on the north side of 466. They are pretty helpful and can process the Obamacare paperwork for you. Your only choice is BC/BS.

Quote:

Originally Posted by rustyp (Post 1497146)
I think you are right. One thing I forgot to mention is this process is not painless, You will be hard pressed to find two people representing the .gov give you the same answer.



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