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Patients Choose Higher Deductibles as Federal Tax Credits Expire

As federal subsidies for health insurance appear to be ending, many patients are opting for plans with higher deductibles. This shift aims to cut monthly expenses, particularly as the deadline for health coverage enrollment looms.

Impending Coverage Deadline and Tax Credit Expiry

Residents have until December 31 to secure health coverage for 2026. Lawmakers are presently discussing the future of the Affordable Care Act and whether to extend the premium tax credits established in 2021. However, with Congress currently adjourned until the New Year, these credits are likely to be discontinued.

Decline in Enrollment Numbers

Jessica Altman, the Executive Director of Covered California, reported that the non-renewal of enhanced tax credits is already affecting enrollment rates. Only 123,461 Californians had signed up for 2026 coverage as of December 20—30% fewer than the previous year.

Financial Implications for Californians

With the potential end of the tax credits, Californians currently pay an average of $150 per month for health insurance. This amount could double to $300 monthly, depending on individual income levels. Altman expressed concern that some people might feel they can no longer afford coverage and choose to go uninsured.

Specific Impact on Santa Barbara County

Santa Barbara County stands to be significantly affected by the expiration of tax credits. Of the 22,160 residents enrolled through Covered California, 20,220 receive assistance for premium payments. Since enhanced assistance began in 2021, health insurance enrollment in the county has risen by 28%.

Concerns Over Future Health Care Access

Altman noted that the lack of affordable options could lead to patients skipping preventative care. This may result in increased health issues that could have been avoided, ultimately placing stress on the healthcare system.

  • Patients may undergo treatment for more severe conditions due to lack of preventive care.
  • Hospitals could face challenges in maintaining their workforce or services, particularly those that are less profitable.
  • Potential long-term impacts on community healthcare services that cater to all residents.

Next Steps for Patients

To secure coverage for January, individuals must enroll by December 31. The open enrollment window for the remainder of 2026 concludes on January 31. Residents can utilize the shop and compare tool at CoveredCA.com to explore various plan options.
Additionally, customers can call Covered California at (800) 300-1506 for free assistance in selecting their health insurance plan.

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