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> No, the Affordable Care Act restricts premiums for the most costly insureds (age 64) to 3x the least costly insureds (age ~21).

> Edit: also, annual premiums for age 64 are around $20k to $25k, and that is with the subsidy from younger plan members.

This implies premiums for the least costly group are $6500-8000/year, which is substantially more than the price I pay. I dont have employer-provided healthcare, nor a marketplace plan, I pay the cash price for individuals without any subsidy. And I haven't been 21 in decades.



I was assuming pricing for gold level plans (health plan covers 80% of costs).

https://www.nj.gov/dobi/division_insurance/ihcseh/ihcrates20...

See Omnia BCBS Gold at $731 per month for age 21 to 24. Omnia BCBS Silver HSA would be $423 per month.

Silver plans cover 70% of expected costs, but at age 64, I assume most would want the lower deductible and oop max of a gold plan. Even the insurance company is calculating it needs to charge $300 more per month for that extra 10% of expected healthcare costs they would have to pick up with a gold plan versus a silver.

As another datapoint, my family of four gold HSA BCBS plan is running around $33k per year in premiums for 2 adults in their 30s and 2 toddlers.




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