Article Review: ‘Affordable’ Care: $1 Pay Hike Costs Middle-Class Family $9,355 Hike in Premiums

combsandco

Image I had a client that sent me this article  and then asked if it was true, that if someone makes $1 more that the family would be paying $9,355 more annually.

I know there are a lot of confusing articles out there right now and this was written with a shock factor to get you to read the article, and for my client….it worked!   He read it, and he contacted me to be his “BS Meter” as he put it.

Here is an example to further explain why this article is saying what it is say:

Ok, so let’s say it is a family of 4.

400% of the federal poverty level is around $95,000 for a family of four in 2014.  If they are making $95,000, then with their subsidy aka discount they will get in the Exchange / Marketplace they cannot spend more than 9.5% of $95,000 on healthcare.  Which translates to $9025 annually = $752 per month (just as a barometer, most family coverage in NY starts at around $1200 per month for a very watered down plan).

If the person makes $95,001, then they won’t get that discount and they’d be paying the full premium, so in my example $1200 x 12 = $14,400 annually, which translates into $5375 more annually if you make $1 more.

I’m not sure where they came up with that magic number of $9035 but it’s really not that far off if you start looking at richer benefit plans!

CEO & FOUNDER

Susan L. Combs

Susan L. Combs, founder and CEO of Combs & Company, is a visionary leader transforming the insurance industry with innovation, integrity, and a commitment to educating and empowering every client.

Let's Connect

We’re Ready to Assist!

Please provide your details, and we'll reach out to you as soon as possible.

Blog - Website Form

Search an article

Take the First Step

Confidence Starts with the Right Coverage

Every great plan begins with understanding your needs. Our experts will guide you through the process, ensuring your coverage provides protection, clarity, and peace of mind.

CONTACT US NOW!

Call us now:

SHARE THIS POST:

Recent Post

By Combs & Company August 11, 2026
choosing between employer paid vs voluntary dental plans? Combs & Company outlines pros, tax impacts, and retention benefits to help employers decide.
By Combs & Company August 10, 2026
Benefits of offering employee medical coverage attract talent, boost retention, and cut costs. Combs & Company outlines ROI, tax advantages, and plan tips.
By Combs & Company August 7, 2026
difference between personal and business auto insurance coverage — Combs & Company: Learn coverage gaps and when to choose commercial auto insurance.
By Combs & Company August 6, 2026
What is commercial property insurance and why do you need it Combs & Company: Expert coverages, replacement vs. actual cash value, limits & quick risk tips
By Combs & Company August 5, 2026
do I need product liability insurance for imported goods? Combs & Company explains coverage, costs, and steps to reduce your legal risk.
By Combs & Company August 4, 2026
how does commercial general liability protect my business? Combs & Company details CGL coverage, duty to defend, limits and claims protection for your assets.

Let’s Talk About Your Goals

Our team listens, understands your priorities, and creates insurance strategies for your growth and peace of mind.

GET STARTED