Monday, February 4, 2013
Monday, February 4, 2013

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.

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You’re about to find out what your health insurance really costs

POSTED: Sunday, February 3, 2013, 3:00 PM

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.

Robert I. Field, Ph.D., J.D., M.P.H. @ 3:00 PM  Permalink | 49 comments
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Comments  (49)
  • 0 like this / 0 don't   •   Posted 3:59 PM, 02/03/2013
    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.
  • 0 like this / 0 don't   •   Posted 7:27 AM, 02/04/2013
    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
  • 0 like this / 0 don't   •   Posted 7:27 AM, 02/04/2013
    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
  • 0 like this / 0 don't   •   Posted 4:19 PM, 02/03/2013
    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
  • 0 like this / 0 don't   •   Posted 10:32 AM, 02/04/2013
    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
  • 0 like this / 0 don't   •   Posted 4:38 PM, 02/03/2013
    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
  • 0 like this / 0 don't   •   Posted 4:42 PM, 02/03/2013
    and I believe if you have a same sex partner in PA you are taxed on the health benefit.
    greatdogz
  • 0 like this / 0 don't   •   Posted 4:51 PM, 02/03/2013
    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
  • 0 like this / 0 don't   •   Posted 11:05 AM, 02/04/2013
    As a Republican, I am unsure of what party you are for. It is the Republican party who has said in no uncertain terms that we believe the health care tax exemption should be ended. We(most of us) don't mind the raise in taxes on capital gains and the increase in taxes on the 400k but we gave that to you in exchange for a middle class tax raise in the form of the ending of the health care tax exemption, raising of SS and medicare age, and a lowering of the inflation index that determines the yearly raise in SS benefits for the elderly. If you are one of these new republicans with no economic sense, a weak grasp on our parties core values, and call your self conservative because you fall there on the "social" issues, I ma here to help start putting the brea on your ignorance until you Tea party and religious whacks leave and start your own party instead of hijacking the RP. So if you are against eliminating the tax on health care benefits, then you are not a Republican and you need to get a better grasp of what your real economic beliefs are.
    UncleStosh
  • 0 like this / 0 don't   •   Posted 5:09 PM, 02/03/2013
    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
  • 0 like this / 0 don't   •   Posted 5:15 PM, 02/03/2013
    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
  • 0 like this / 0 don't   •   Posted 11:21 AM, 02/04/2013
    95% of all economist believe that the stimulus in the US worked and should have been more. CEO's and wall street financial analyst have come to the same conclusion. The only questionable action was bailing out the banks and that happened in 2007. Pay attention. Don't worry, Wal-mart and the like will start hiring again and unemployment will be back around 6% again soon. I just point this out because the truth is that this economic swoon was mostly about the lowest level jobs and the droves of talentless people in middle management and such. It should serve as a big wake up call to those coming of age. The future is not going to be kind to people without a College Education that is focused on giving you real world skills. That means the working class will continue to get poorer and poorer and the all of the college grads who are just average will struggle to ever be more than a waiter or sales person. Bring skills or go home. Employers no longer need the mediocre because production increases have made you expendable. If you stack paper, you better be the best or starve. In 50 years, only half of the population will need to work, mostly in high skill positions, government, and service. Do the rest of you become our servants again like the middle ages? I can have a man to put on my coat, a cook, some handmaidens, etc just so we can have full employment? The real story is how relentlessly the increase in production has gutted the work force. These jobs don't get replaced with new things for the mediocre to do.
    UncleStosh
  • 0 like this / 0 don't   •   Posted 6:09 PM, 02/03/2013
    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
  • 0 like this / 0 don't   •   Posted 7:35 AM, 02/04/2013
    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
  • 0 like this / 0 don't   •   Posted 8:47 AM, 02/04/2013
    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


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About this blog

Health care is changing almost before our eyes, and the headlines just scratch the surface. From Obamacare to Medicare to managed care to genomics, the blog reports on and analyzes the laws, government policies, and political trends that are transforming the care we receive and the way we pay for it. The Field Clinic dissects the latest health care news, explaining it and putting it in context.

The Field Clinic is written by:

Robert FieldRobert 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.

Erica Cohen

Erica Cohen, a third-year law student concentrating in health law at Drexel University Earle Mack School of Law. She graduated from the Scripps School of Journalism at Ohio University with a major in online journalism and minors in business and political science. Prior to attending law school, Erica worked for DKMS Americas, the world's largest bone marrow donor center. She currently works as a legal intern in the office of general counsel at a local hospital.

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