'Do I spend $500 on a doctor's visit or do I buy groceries?': Meet some of the Americans who could lose health insurance soon if ACA tax credits die | Fortune
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'Do I spend $500 on a doctor's visit or do I buy groceries?': Meet some of the Americans who could lose health insurance soon if ACA tax credits die | Fortune
"Monreal, 47, and her husband, Jorge, 57, rely on the Affordable Care Act marketplace for health coverage. If Congress doesn't extend certain ACA tax credits set to expire at the end of the year, their fully subsidized plan will increase in cost, putting it out of reach. Without insurance, they won't be able to afford his expected knee replacement surgeries, much less the treatment they need for other issues, like her chronic high blood pressure and his high cholesterol."
"Those are the types of choices facing the millions of Americans whose state or federal marketplace health insurance plans will be up for renewal in November. The enhanced premium tax credits that have made coverage more affordable for low- and middle-income enrollees for the last four years will expire this year if Congress doesn't extend them. On average, that will more than double what subsidized enrollees currently pay for premiums next year, according to an analysis by health care research nonprofit KFF."
Celia Monreal and her husband rely on the Affordable Care Act marketplace for health coverage and face potential loss of affordability if enhanced premium tax credits expire. Their fully subsidized plan could become unaffordable, jeopardizing planned knee replacement surgeries and treatment for chronic conditions. Enhanced subsidies have reduced premiums for low- and middle-income enrollees for four years and would expire without congressional action, likely more than doubling premiums on average, according to KFF. The subsidy dispute is central to the ongoing federal government shutdown. With open enrollment approaching on Nov. 1, millions of enrollees face uncertainty about renewal costs and access to care.
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