That gets to be a tough one, because, remember, if one is eligible for ACA subsidy, it is counted as income. So the choice is between taking actual income or getting taxed on "income" never received. Obviously, money in an account is spendable on anything, while subsidy creates income that is earmarked as healthcare spending.
Personally, I would not be trying to stay below a certain income level only to be taxed as if you received more. I would find it more stressful to avoid actual income, but that's just me. If a person is happy living on the subsidy level, rock on, but best to get ducks in a row and not have expenses that are going to blow that plan.
This sounds like me. I am stressing about this trying to stay below a certain income and how it will all play out. Ok- so yeah- we are right now living just on our savings account. I am not sure what the plan is after the first 6 months of this year, other than more of the same. But then the FA is talking small Roth conversions.
Then when I go on the website for the ACA insurer I can put in income anywhere from $30,000 to $40,000 to get a subsidy and also a cost sharing subsidy. At $45,000 only a subsidy- not a cost sharing subsidy. Right now I paid for 2 months of retiree medical insurance at $545 per month out of our HSA account. The ACA plans would be anywhere from $103-$228 per month for a Silver Plan.
Hubby's Part D plan premiums come out of the HSA account. We paid his Medicare Part B and Plan G premiums out of pocket on credit cards. He also has an HRA account his employer will fund with $60 per month and when I start Medicare will do the same for me as long as I have at least a Part D plan through their broker. We figure we would use that money to reimburse ourselves forr dental care, copays, out of pocket prescriptions or even to reimburse ourselves for a some of the Medicare Part B premiums if anything.
Can you believe you are not allowed to pay Medicare supplement premiums out of an HSA? I wonder what the rationalle for that stupid rule is? I mean- you can pay Medicare Advantage premiums and Part D and Part B from an HSA or HRA! And my husband's HRA allows Medicare supplement plans to be paid out of it I think. I don't get it.
But back to the ACA-I am not sure what to do. I mean- it is obvious there is a savings with the ACA plan. But I am not smart enough to understand the tax implications later on. The whole thing gives me a headache and is giving me grief when I just want to enjoy my life and deal with my move to our new house and community. I am so sick of dealing with it all it isn't even funny.
Bad enough we have to make a bunch of calls and do more work to change our current plans to the new state. Then to make another decision...ugh...