You're about to find out what your health insurance really costs
Here's a quick question. How much does your health insurance cost? You probably have no idea.
You’re about to find out what your health insurance really costs
Here’s a quick question. How much does your health insurance cost? You probably have no idea.
Most Americans get coverage through an employer – either their own, their spouse’s or their parent’s. The employer usually picks up most of the tab, somewhere between 50 and 80%. You probably know the size of your share, since it is taken out of each paycheck. But few people know the size of the entire bill.
That is about the change. Starting this year, the W-2 form you receive from your employer will include the full amount that was paid for your health coverage. (That’s the form you file with your tax return listing compensation for the year. Employers who file fewer than 250 of them are exempt.) When you see it, you may be in for a big surprise.
Take a look at Box 12. If you received health coverage, you will see the code “DD” followed by an amount. That’s how much your employer paid. There’s a good chance it’s a lot more than you thought.
The average individual policy cost $5,615 in 2012 and the average family policy $15,745. Some plans cost much more – over $20,000. If you are like most workers, only a small portion of that, about a quarter on average, is deducted from your paychecks. The rest is compensation you may not have realized you were getting.
The cost of health coverage was not reported until now because it is not subject to income tax. The money is a benefit you receive tax-free, so the IRS has no need to know how much it is. For most workers, this ignorance is bliss. They enjoy financial protection from health care expenses and have no idea what it really costs.
The problem is that many workers pay the cost without realizing it. That’s because their employers make up for the expense by paying less in salary. If Box 12 on your W-2 lists, say, $15,000, there’s a good chance you could be making thousands of dollars more in salary if your employer didn’t provide health benefits.
The change in reporting was mandated by the health reform law. The purpose is to make you more cost-conscious. With knowledge of what coverage really costs, workers may be more open to accepting cheaper plans in return for higher salaries. That could help to push spending down throughout the health care system.
The law does not change the tax treatment of your health coverage. It is still tax-free, if you get it through an employer. While some fear the new reporting rule will make it easier for the government to tax health benefits in the future, there are no plans to do so. A tax change would require that Congress pass another health reform law, and that is not likely to happen anytime soon.
Lest you think the new rule was an insidious provision slipped in by Obamacare’s architects, it actually had clear bipartisan support. It was originally proposed by two Republican senators – Charles Grassley of Iowa and Michael Enzi of Wyoming – and two Democrats – Max Baucus of Montana and Ron Wyden of Oregon.
America has the most expensive health care system in the world. While cost increases have moderated in recent years, they are unsustainable in the long run. Few of us appreciate how much of the expense we actually bear – often with each paycheck. Thanks to health reform, we will now have a better idea. That could be a first step in bringing costs under control.
PhillyDaniel
Really?
What good-hearted employer shows that? ald
Obamacare is theft. Frank S.
This little change will not reduce costs. Fritz and Alice
Nebulus, It is not Nutter that charges the healthy 22 year old the same as the 66 year old that takes many prescriptions. It is the insurance company. Insurance is the spread of risk among everyone in that group plan. IF you work for the city and are complaining, stop right now. Count your blessings, every single day. Non city employees pay half of their health insurance while city employees make a small contribution. If you do not like the city paying for your health care, then get a real job. misterpond
And all you sheep and koolade drinkers, liberals, democratic drones and union lazies....can only thank "your" guy, the Obamaman for this and you now have a clue what those with brains and vision and the idea of fiscal responsibility have been saying for years....hhahahahaah...and he said it was the YOUR responsibilty to share "your" wealth with illegals, the unemployed and those too shiftless to work.......NOW, how do you feel about taxation with representation....Didn't realize you were going to get hurt by this......Guess you were deaf to the calls from the other side and blinded by the sound bytes and the media's adoration and agenda......Hard to blame this on Bush and Fox news you stupid koolade drinkers....Juist try thinking for yourself for a change....hahahah...you get what you voted for....fools.... nuggett
Has there ever been a government run agency that has been effective and efficient? I can't think of one. Don't think Obamacare will be the first. It still amazes me that so many people believe costs will go down by adding millions of people to health insurance, have it administered by the IRS and 36 other new government panels and agencies without sacrificing quality of care. Pain pills for all over 65. chris_r
Obama is destroying this country, one new law after another. With all this "hidden" taxes and rules people are still so stupid as to think he is great. One day we will all be working for nothing!! PhillyTaz
Please write more healthcare and "Obama-care" articles, Philly.com. They bring out all of the wing nuts and provide some great entertainment. Maybe you can run some articles questioning Obama's citizenship and calling him a Muslim. The blogs would be fantastic! Can't wait to sit back, read and laugh. Just like the kooky emails I receive all the time in red and all caps. Philly Born
What is amazing is how many people freak out about Obamacare without even understanding it. Yes, it has something to do with taxes. It is a functional tax cut. One of the largest in history. If you make under 100,000.00 a year net, your costs are capped at 8.7% or LOWER. That means on the full hundy you pay 8,700.00 not 20,000. The government picks up the rest. The less you make the less you pay. The more you make the more you pay of the total costs. But even for those paying a little more, the fact that insurance works like insurance again, i.e. pre-existing conditions, caps, exemptions, etc., makes it worth it. The actual costs for Health insurance are 20,000.00 for a family of four, it is higher if you actually use it. Now, your actual costs and your functional cost are identical. In fact, with the caps on administrative costs, i.e. that 90% of your premium must go towards your med costs or it is refunded, you actually get an even bigger "real" savings. Unless you are making between 175-500,000 a year, in which case you can afford a fractional increase, ObamaCare just saved you anywhere between 11-20,000 dollars. Stop whining about tax dollars you have no control over. The tax money is gone, either it goes to building a bomb or plane or to helping keep people healthy. It is a massive fix to a complex problem and the fact that Obama haters can't see how much it benefits them makes me laugh. Keep calling it ObamaCare and the guy will end up on Mt Rushmore. jcwtts1
Gotta love the "closet Muslim". The pied piper continues to woo the zombies. dogman5
JCWTTS1....Fact, I now pay more in taxes and guess what, I am considered lower income. My health care costs have gone up for a few years now and I have co-pays on things I did not have co-pays on before in order top pay for Obamacare. Now, please, explain to me once more how this is a good thing for a lower income family? Obamacare sucks and that man will never go up on the mountain where real men that were "for the people and by the people" are immortalized. Keep praying to your fake God! PhillyTaz
If Obamacare is so great, why are unions and Congress exempt? Shouldn't we all share in the sacrifice? LouDiamondPhillipsheadScrewdriver
"there’s a good chance you could be making thousands of dollars more in salary if your employer didn’t provide health benefits."
What a bunch of BULL !!
NO Employer will pay MORE in salary to a worker in exchange for no Health Benefits.
Name ONE Employer who PAYS MORE for no benfits.
PS: 60 year old, hard working responsible couple, NO Health Problems, NEVER used the Blue Cross/Blue Shield we've been paying for for 42 years.
I have NEVER met an employer who would pay MORE for NO BENEFITS. acitizen
PhillyTaz -- Obviously I don't know the details of your personal financial situation but ObamaCare hasn't gone into effect. We're still in the roll out process. jcwtts1
JCWTTS!...I respect that answer, but I am already paying higher everything before the full effect, and there is no one that can tell me that eventually it will be better for my family and I. Everything that does go up stays up and I have yet to have any taxes or fees lowered in regards to my healthcare. Fact is, we all will be paying more to pay for illegal aliens getting benefits, people that out right refuse to have health insurance and those that feel they are entiteled to free everything and that seem to get away with it even while working people like us pay more and more. PhillyTaz





Robert I. Field, Ph.D., J.D., M.P.H, professor of law at the Earle Mack School of Law and professor of health management and policy at the School of Public Health at Drexel University. He is the author of Health Care Regulation in America: Complexity, Confrontation and Compromise, a comprehensive overview of the government’s oversight of health care published by Oxford University Press.