Living Without Health Insurance On Purpose; Why?

In this article we will be discussing some reasons people are Living Without Health Insurance On Purpose. So stick around and learn; Lets go:

Living Without Health Insurance On Purpose


Many people do not have insurance because they are worried about how much it will cost. An estimated 30.4 million people were uninsured in 2018, up from a low of 28.6 million in 2016. There were 18.2 million fewer uninsured people in the United States in 2018 than when the Affordable Care Act became law. In addition, fewer people are forgoing health care because of cost or reporting high out-of-pocket costs relative to their income. Also, an increasing number of individuals have reported difficulties obtaining health care due to costs, and coverage gains have stalled or even eroded in some states.

A healthy way of life and a perception of low risk:

Some people, especially those who live a low-risk lifestyle and are generally healthy, may believe that the potential benefits of health insurance outweigh the costs. They may believe that paying out of pocket for occasional visits or treatments is more cost-effective in the long run if they rarely require medical services.

Belief in different strategies:

Some people have a lot of faith in self-care, traditional medicine, or alternative health practices. They might rely on these methods and think that having health insurance is not important for their well-being.


Some people might be of the opinion that getting healthcare should be a personal responsibility or that it should be provided by other means, like programs in the community or initiatives that are funded by the government.

Ineligibility or inaccessibility:

Due to limited availability, ineligibility, or specific circumstances, individuals may not have access to health insurance in some cases. This may be the case for people who are self-employed, unemployed, or have pre-existing conditions that make it difficult to get coverage at a reasonable price.

READ: Is It Illegal To Not Have Life Insurance

It is important to note that there are dangers associated with not having health insurance. If someone does not have insurance, they might have to deal with financial difficulties if they have to pay for long-term medical treatment or other unexpected expenses. In addition, access to preventative care and early intervention may be hindered if you do not have insurance which is important for maintaining good health. Personal circumstances, health requirements, and potential consequences should all be carefully considered before making the decision to live without health insurance.


Recommendations for Policy

Affordability continues to be a major reason why over 30 million adults do not have insurance. More than a third of adults without insurance who did not try to get coverage through the marketplaces cited affordability concerns. Adults with a coverage gap who were previously insured through the individual market dropped their plans because they were too expensive. Also, the survey suggests that adults without insurance are unaware of their coverage options. Federal and state policymakers have a number of options to help millions of people keep or gain coverage within the framework of the existing law, despite the fact that the national debate about health care is focused on more extensive reforms like Medicare for All. These recommendations should be taken into consideration:

  • Lift the 400 percent poverty threshold for eligibility for marketplace tax credits. This move would make it easier for people with incomes of more than $48,560 for individuals and $100,400 for families of four to afford market plans. The way the tax credits work is that people can only pay 9.86% of their income toward their premiums. There is a built-in phase-out for raising the cap: Since premiums account for a decreasing proportion of income, fewer people are eligible as income rises. As healthier individuals sign up for insurance, this policy change, according to RAND researchers, would reduce silver plan premiums by nearly 3% and increase insurance coverage by nearly 2 million.


  • State or federal reinsurance. It would cost the federal government $10 billion annually. Lowering marketplace premiums was made possible by the ACA’s reinsurance program. After the ACA came to an end in 2017, seven states implemented their own programs; four more will do so in 2020, and one has applied to do so. Alaska’s program reduced premiums by more than 20% in 2018. These lower costs are especially helpful to people whose incomes are too high to qualify for ACA premium tax credits. A federal reinsurance program has been proposed in a number of congressional bills.


  • Ban or limit short-term health plans and other insurance that does not comply with the ACA. The administration has nearly eliminated funding for advertising and assistance to help people enroll in marketplace plans. Survey research indicates that individuals who received personal assistance when they shopped for coverage were more likely to enroll than those who did not. People who enroll in short-term plans that are not required to comply with the Affordable Care Act may be exposed to high costs and insurance fraud.

Also, these plans force healthier individuals out of the market, resulting in higher premiums for those who remain and increased federal costs associated with premium subsidies.


  • Correct the so-called family coverage glitch. If their income is between 100 and 400 percent of the federal poverty level, they are eligible for marketplace subsidies if their employer premium expenses exceed 9.86 percent of their income. Their employers face a federal tax penalty as a result of this. Since this clause only applies to policies with a single person, many middle-class families are caught in the family coverage glitch. By tying unaffordable employer plans to family policies rather than to individual policies, Congress could assist families.

Matthew Buettgens and colleagues estimated in 2016 that the issue impacted more than 6 million people and that addressing it would reduce their spending on premiums from an average of 12.5 percent of income to 6.3%, at a cost to the federal government of $3.7 billion to $6.5 billion. Special enrollment periods for ACA marketplace coverage are available to individuals who drop coverage during the year. Anyone who qualifies for Medicaid can enroll at any time. However, research shows that a lot of people who lose coverage from their employers do not use these options. The federal government, states, and employers could make people aware of these options by advertising and educating them.


  • Reduce Medicaid churn. One-quarter of Medicaid beneficiaries leave the program and become uninsured over a two-year period, according to research. Many of these beneficiaries do so due to administrative obstacles, particularly the renewal process. The enrollment and reenrollment procedures could be streamlined and simplified by the federal government and the states in order to assist individuals in maintaining continuous coverage.


Why you should include insurance in your financial plan

  • Insurance can aid in portfolio diversification. You can, for instance, use a cash value life insurance policy to generate tax-deferred growth if you are in a higher tax bracket and have already exhausted all of your contributions to a qualified retirement plan. You do not have to pay taxes when you use your basis because you are just getting your own money back. You can then switch to policy loans which are not considered income that must be reported.


  • Your financial plan may benefit from the predictability and safety of insurance. Insurance has the added benefit of giving your legacy and estate plan some predictability. Over time, the value of investments, real estate, business interests, and other investment assets can fluctuate. Predictability is provided by a life insurance policy. Because the death benefits of life insurance do not change over time, that part of your estate plan will stay the same.


  • Insurance might help with taxes. The beneficiary of a life insurance policy is generally exempt from income tax on the death benefit. Place an insurance policy in an irrevocable trust to avoid estate taxes for wealthy individuals whose heirs would be subject to a federal estate tax or who live in a state with a state estate tax.


  • Risk reduction is probably the most common reason to have life insurance. Life insurance can assist in securing financial support for your loved ones in the event of the death of their bread winner.


Options for paying your life insurance premiums

Not only are insurance plans customizable, but you can also customize how you pay your premiums which are the amount you pay for a particular policy.

It is possible that cash alone will provide funding. Reduce your holdings to free up cash, or sell positions in your stock portfolio to generate cash. Gifts of assets to family members, such as investment real estate, can also generate income. Another option is to sell assets, but doing so may have an impact on taxes.

READ: How Long Can You Go Without Health Insurance?

If you want to avoid losing assets to pay large premiums, another option is to finance your premiums. For instance, a family with accumulated assets that would be subject to a significant estate tax when distributed to their heirs may benefit from premium financing for life insurance. Real estate, investments, and privately held businesses are all examples of these assets.


Check your insurance policies on a regular basis

As time goes on, things like interest rates and performance will often change. The optimal ownership and beneficiary structures, exposure to adverse tax treatment, and competitiveness of the policies are just a few of the other aspects that should be evaluated. A comprehensive examination of your existing insurance policies may reveal policies with stronger guarantees, additional policy features, and more appealing prices as part of your annual review of your financial plan. Your policy may also need to be updated in response to significant life events like getting married or starting a business. There are as many different kinds of insurance plans as there are customers, so buying insurance should be considered from a planning rather than a transactional perspective.

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