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Ask HN: Bootstrapped US founders, who do you use for health insurance?

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Ask HN: Bootstrapped US founders, who do you use for health insurance?

#1
I'm a single founder in California, and via CoveredCA a decent health care plan (PPO) silver from Blue Of California costs $460 a month. I don't qualify for any discounts so I have to pay full individual price.

So $5,520 a year for health insurance! Ridiculously expensive. I'm looking for any other options, perhaps plans geared toward small businesses with less subsidies.

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#3
post #2

Look into Direct Primary Care. If it is available in your area, it is an ACA compliant option when paired with a health savings account or high deductible coverage.

I'm pretty sure I have to have full insurance or I'm going to get a nice big tax penalty at the end of year.

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#4
post #2

Look into Direct Primary Care. If it is available in your area, it is an ACA compliant option when paired with a health savings account or high deductible coverage.

I'm pretty sure I have to have full insurance or I'm going to get a nice big tax penalty at the end of year.

http://micheleincalifornia.blogspot.com/2015/12/how-to-fix-a...

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#5
post #4

Earlier quoted context omitted.

I'm pretty sure I have to have full insurance or I'm going to get a nice big tax penalty at the end of year.

http://micheleincalifornia.blogspot.com/2015/12/how-to-fix-a...

What happens when you need urgent medical care like the hospital using direct care?

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#6
Does that include subsidies? I would assume, based on your income as a founder, that you'd qualify for subsidies for plans on healthcare.gov. If you don't (>$60-70k/year income), even high deductible plans are in that monthly range you quoted (my individual high deductible marketplace plan went from ~$290/month to ~$500/month [$9000 deductible], so my wife, daughter, and I are now on a PPO plan at $1300/month).

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#7
post #4

Earlier quoted context omitted.

http://micheleincalifornia.blogspot.com/2015/12/how-to-fix-a...

What happens when you need urgent medical care like the hospital using direct care?

That is what the high deductible insurance or health savings account is for.

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#8

Does that include subsidies? I would assume, based on your income as a founder, that you'd qualify for subsidies for plans on healthcare.gov. If you don't (>$60-70k/year income), even high deductible plans are in that monthly range you quoted (my individual high deductible marketplace plan went from ~$290/month to ~$500/month [$9000 deductible], so my wife, daughter, and I are now on a PPO plan at $1300/month).

Any income greater than $50,000 a year does not qualify for any California assistance. $50,000 a year is completely unlivable where I live in the bay area. You have to be near poverty (bay area) to get any government assistance.

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#9

Does that include subsidies? I would assume, based on your income as a founder, that you'd qualify for subsidies for plans on healthcare.gov. If you don't (>$60-70k/year income), even high deductible plans are in that monthly range you quoted (my individual high deductible marketplace plan went from ~$290/month to ~$500/month [$9000 deductible], so my wife, daughter, and I are now on a PPO plan at $1300/month).

Any income greater than $50,000 a year does not qualify for any California assistance. $50,000 a year is completely unlivable where I live in the bay area. You have to be near poverty (bay area) to get any government assistance.

> You have to be near poverty (equivalent in bay area) to get any government assistance.

Assistance is for those who need it, not those who willingly choose to live in a high COI area. It is possible to live in CA on $50k/year.

Would you pay that assistance back if you had a liquidity event? Probably not.

Re: Ask HN: Bootstrapped US founders, who do you use for health insurance?

#10
post #4

Earlier quoted context omitted.

I'm pretty sure I have to have full insurance or I'm going to get a nice big tax penalty at the end of year.

http://micheleincalifornia.blogspot.com/2015/12/how-to-fix-a...

> My understanding is that health insurance originated in this country as a means to plump up employee compensation in a situation where paying more wages was not desirable. You could not entice good employees by offering them a pay raise because it bumped them up into another tax bracket and it just wasn't worth it to them. But the way health insurance got handled, if you offered them a benefits package, it increased their quality of life without the punishing extra taxes.

You could not entice good employees by offering them a pay raise because it was illegal [0]

This passage also reflects a possible misunderstanding of how marginal income tax brackets work. In no situation does bumping someone into a higher tax bracket result in lower net pay.

[0] https://en.wikipedia.org/wiki/Stabilization_Act_of_1942

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