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

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

#31
post #30

Earlier quoted context omitted.

Thanks that's great advice. It seems there is absolutely zero discounts using CoveredCA when you earn more than $50,000 a year.

Use your 'company' to pay for your expenses and draw less than $50,000 as salary. Problem solved.

If I use my company credit card, how does that help? Both scenarios would be tax write offs correct?

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

#32
post #27
post #13

Earlier quoted context omitted.

Thanks. I am considering doing a new piece because I get a lot of flack over details like that while people generally seem to miss the point relevant to our lives today that DPC is a legal alternative under the ACA and a genuinely better solution. I am frustrated and not sure what I need to do differently to get that across effectively. Edit: Feel free to nitpick this version: http://micheleincalifornia.blogspot.com/…

Sorry, I didn't mean for my comment to be taken as a criticism of the overall piece but rather a nitpick of that particular paragraph. I agree that separating disaster/catastrophic coverage (ie: insurance ) from routine things like doctor visits (ie: health care ) is a good thing. I was aware of HDHP and HSA for the former but I did not know about DPC until you brought it to my attention with this comment thread. Tha…

It was written somewhat off the cuff and I did frame it as "as I understand it." I was just trying to give some general historical background for why the US has gotten to where it is currently, even though what we currently do is incredibly broken.

I don't know why I seem to inspire this kind of reaction in people, and maybe it isn't "me" per se, but I seem to get this a lot. And I am genuinely interested in figuring out if it is really something I do that I can somehow change.

Thank you for engaging me in meaty discussion.

Best.

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

#34
post #30

Earlier quoted context omitted.

Use your 'company' to pay for your expenses and draw less than $50,000 as salary. Problem solved.

If I use my company credit card, how does that help? Both scenarios would be tax write offs correct?

You said that you need to be making < $50,000 to be considered for a discount from coveredCa. If you're using your company to pay for your expenses, and you draw less than 50G in personal income. You should be eligible for a discount.

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

#35

If you don't qualify for any subsidy, you should definitely just purchase health insurance directly through the carrier. I initially purchased insurance via CoveredCA (no subsidy) and they just acted as a middleman between my family and Blue Shield without providing any benefit.

Thanks that's great advice. It seems there is absolutely zero discounts using CoveredCA when you earn more than $50,000 a year.

For CoveredCA, does anyone know if capital gains count towards $50k? Or 'just' your ordinary income?

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

#36
Do what I did six years ago: Marry an Australian and leave the US. I now pay AU $350/month for private medical insurance for my family of five, in addition to being able to access Australia's world-class public Medicare medical system.

It's only when you live outside of the US that you realize it has the worst healthcare system in the developed world (unless you're very rich, in which case it's the best, which says a lot about the US political system).

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

#38
post #34

Earlier quoted context omitted.

If I use my company credit card, how does that help? Both scenarios would be tax write offs correct?

You said that you need to be making < $50,000 to be considered for a discount from coveredCa. If you're using your company to pay for your expenses, and you draw less than 50G in personal income. You should be eligible for a discount.

I have a 100% ownership LLC, so my personal income is combined with business income.

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

#39
post #35

Earlier quoted context omitted.

Thanks that's great advice. It seems there is absolutely zero discounts using CoveredCA when you earn more than $50,000 a year.

For CoveredCA, does anyone know if capital gains count towards $50k? Or 'just' your ordinary income?

Yes, looks like it includes all forms of income - capital gains, dividends, etc. However, it is using the MAGI so you could potentially use a solo 401(k) to defer income and get under that threshold. http://insuremekevin.com/type-income-counted-covered-califor...

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

#40
post #35

Earlier quoted context omitted.

Thanks that's great advice. It seems there is absolutely zero discounts using CoveredCA when you earn more than $50,000 a year.

For CoveredCA, does anyone know if capital gains count towards $50k? Or 'just' your ordinary income?

This might help: http://www.cahba.com/blog/2013/11/magi.html
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