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.
Simple question....
Is it fair for people to own and drive a car without insurance? Why not? Because it puts the financial burden on the "other guy" through higher insurance rates not to mention any costs incurred if you get hit by an uninsured motorist.
How then, is it fair for a working adult not to carry health insurance? It's not and you can't argue that it is.
Rokit
Health Insurance Premium Increases: 1994 - 18%, 1995 - 18%, 1996 - 5%, 1997 - 45%, 1998 - 120%, 2001 - 18%, 2003 - 11%, 2006 - 23%, 2008 - 19%, 2009 - 22%, 2010 - 19 %, 2011 - 11%. All other years were increased less than 10% except 1994, 1999, 2000, 2007 where premiums were decreased.
Increases have NOTHING to do with HCA.
It ALL about the BOTTOM LINE. Profits.
acitizen
FROM : businessweekly.readingeagle.com/?p=4366
Barbara R. Coyle, laboratory director for M.J. Reider Associates Inc. of Reading. Coyle blames providers as much as the legislation’s ambiguity for her cost concerns. With 40 employees, Coyle is under the 50-worker minimum for which the law mandates employer coverage.
M.J. Reider, an environmental testing laboratory, could thus save a sizable chunk by simply dropping coverage for employees. Coyle said she now spends $402,000 annually on health care for 40 employees, a cost she said increases 20 to 40 percent per year. The company would spend only $120,000 in penalties ($3,000 per employee) should it kill its coverage.
“I could increase my bottom line by $282K if we opted (to drop coverage),” Coyle emailed. “…
NOTICE Coyle did NOT SAY THE EMPLOYEES WAGES WOULD INCREASE.
No Benefits would " INCREASE MY BOTTOM LINE " acitizen
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
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
"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
If Obamacare is so great, why are unions and Congress exempt? Shouldn't we all share in the sacrifice? LouDiamondPhillipsheadScrewdriver
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
Gotta love the "closet Muslim". The pied piper continues to woo the zombies. dogman5
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
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
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
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
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
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
This little change will not reduce costs. Fritz and Alice
Obamacare is theft. Frank S.
PhillyDaniel
Really?
What good-hearted employer shows that? ald
My pay stub does not show the company share for health insurance. OIt does show what I pay. The problem however, is that the premiums are for group policy which includes the 22 year old with no health problems and the 66 year old with multiple health problems and prescriptions.
Nutter has talked of paying $972 per employer per month for health insurance (vision, drug, medical) while the employee pays a share of about $125-250 per month depending on the plan (no cost of basic HMO). But again the same rule applies: when Neuter calculates the cost he charges the healthy 22 y.o. the same as he does the 66y.o. Just saying. nebulus
I own a small business with less than 20 employees. I have always paid 100% of my employee's health insurance as part of their pay package, because I feel its important. Full dental & vision. I love Obamacare. Now I get a tax break for doing the right thing. Unless you don't have coverage and want to continue sucking of society by using the emergency room, or you're a scumbag employer that doesn't want to give people benefits, there is nothing to complain about. The people that hate it simply because Obama passed it are irrational and irrelevant. Bobski5000- Bob, while I HIGHLY doubt you own your own company, I'll humor you by stating your argument contains NO facts or figures and is purely emotional....is that the best way to run your "business"?
Further since your "business" has less than 50 employees, how convenient that you don't have to worry about Obamacare's requirements...ironic?!?
Sounds like you have NO credibility here since your "business" isnt affected. Professor1982 - And yes, I run my "business" with a ton of emotion.
Bobski5000 - Since 2010, small employers have received a tax credit equal to 35-50% of healthcare costs.
I'm only 35. Paying more taxes than you ever have. The wealthiest guys I know voted Obama. 23 of 25 wealthiest states voted Obama. 10 of 10 poorest voted Romney. Straight per capita household income. Enough facts for you Bowers?
How old are you? 70? How many jobs have you created? ZERO. Bobski5000
Oh wait! Obama said that our health premiums would go down $2500/yr(they went up $2500), the deficit would be cut in half (it went up trillions), we'd be out of Gauntanomo (still open), unemployment wouldn't go above 7% if we spent a trillion on stimulus (its at 7.8%). What a great president, we should re-elect him! yippee, lets all go to hell! alsdkjk
Oh, and by the way, the value of the employer-paid portion of the cost has been posted on people's paystubs for a long, long time, along with the Year-to-Date amount. The only difference now is that this figure is being reported to the IRS. No one is seeing boogey men in this - there was one goal here - the government wanted their hands on the amount of subsidy - it is now a simple exercise for them to model the amount of taxess they can extract from people at various income levels by eliminating or limiting the income exclusion. Before, they had to estimate it. I'm betting that they'll exclude any collectively-bargained benefits though - just to be "fair". PhillyDaniel
The federal government "Spends" (their term) or loses more on the fact that this benefit is not taxable incomes than the mortgage interest and standard deduciton combined. Trust and beleive - it WILL become a line item on your 1040, and the middle class and those above that level WILL be required to pay taxes on the value of this benefit. This is a humongous opportunity to raise revenue - and the Feds and States need that money to keep the 47 million entitleds happy and voting Democrat. PhillyDaniel
and I believe if you have a same sex partner in PA you are taxed on the health benefit. greatdogz
Do you really think it was put there to make you more 'cost conscious'? Now that it's visible on YOUR W-2, it's only a matter of time until it becomes a taxable benefit. JohnnyL
It's still part of Obamacare. Don't try to run away from that fact. It was actually postponed for a year. I can guarantee you that the government will attempt to add a new layer of taxes based on the health insurance benefit on a person's W-2. That's the whole point of a W-2. They could have come up with a million other ways to report this but they chose the W-2. Just give it time. Phillies2008WSChamps- And that is why it has broad bi-partisan support.The Republican party has confirmed that they believe the tax exemption for health care should be eliminated.
UncleStosh - So the Tonner's employer is paying a lot. The Tonner is also paying a lot for that non-generic salve required after a wild, unprotected rutting. Not to mention the co-pay to get the doc to look at his johnson rod. Craziness.
- According to the IRS, coverage for a single family will cost at least $20,000.00 per year. A massive increase for middle class and poor under Obamacare (Not to mention the already $1T increase on taxes for medical devises).
What's worse? If the family cant afford it, not only will they get caught up in the Criminal Justice system, but US taxpayers will foot the bill for medical services.
Anyone who supports Obama here is a complete buffoon. Professor1982 - According to the IRS, coverage for a single family will cost at least $20,000.00 per year. A massive increase for middle class and poor under Obamacare (Not to mention the already $1T increase on taxes for medical devises).What's worse? If the family cant afford it, not only will they get caught up in the Criminal Justice system, but US taxpayers will foot the bill for medical services.Anyone who supports Obama here is a complete buffoon. (HTML deleted)
Professor1982





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.