The Affordable Care Act is partially starting in 2014 where individuals have to purchase health insurance from government-run websites. These health insurance policies must now comply with federal mandated rules about covering more illnesses.
A new study from Columbia University on the Affordable Care Act revealed that people are not choosing the most cost-effective plans for their circumstances. The variables for cost-effectiveness are the insurance premium, the deductible, and the co-payment of healthcare treatment. After seeing the results of their study, the writers suggest that websites include calculation aids to help individuals make better choices. By choosing poorer financial options, individuals are expected to pay an extra $10 billion per year.
In the study, when given 8 different insurance options of varying cost to them, they chose nearly randomly. Only 21% chose the most cost-effective plan. Contrarily, MBA students with consumer finance classes chose the most cost-effective plan 73% of the time.
According to this study, the correct analysis is to make an estimate of health care usage for the upcoming year, consider the uncertainties around those amounts, and then select the plan that best minimizes the total cost of that usage.
These are very meaningful decisions because health care costs, after ACA is fully implemented, it can consume as much as 10-20% of a family’s income. This is due to erratic subsidy levels at different levels of income. For example, if a two-income household earns $62,100 they do not qualify for any government subsidy for their health insurance and their insurance co-pay maximum would be 20.02% of their income at $12,431. But, if they earned just $50 less at $62,050, then they would receive a subsidy of $6,536, lowering their maximum co-pay to only 9.5% of their income. As you can see, mapping out and adjusting your income for government subsidies is another critical element to minimize your overall health care cost.
Financially literacy includes considering as many scenarios as possible, and their financial consequences and likelihood, before making major financial decisions. The new health care law highlights how important this skill is to learn.