Reply #127: Because that's not how a "Bronze" plan is supposed to be used [View All]

[jeff47]

The theory behind the "Bronze" plans is to tie them to HSAs. That's why the limits are set where they are - they're the limits for HSAs.

The theory being the HSA absorbs the deductible and your out-of-pocket maximum if you have a "year were you need serious heath care". During a 'normal' year, you're paying lower premiums and fund an HSA up until it's got your deductible and out-of-pocket maximum covered. After that, you don't need to contribute any more to your HSA, freeing up more money.

It's the 'self-insurance' concept some wonks have been pushing for a long time to keep costs down. Said wonks believe that costs are going up so much because we don't comparison shop, and funding it from an HSA gives us 'incentive' to do so.

The problem said wonks are glossing over is that your HSA is invested in the market, much like an IRA. So if the economy goes into the tank, thus dragging down the stock market and you get laid off, suddenly your HSA isn't there to cover you.

Single-payer still works better, but these plans are not quite as doom-and-gloom as you indicate. Assuming you can use them as intended.