ACA subsidy cliff state research
I ran the KFF calculator for a couple at $84,599 vs $84,601 across nine states. The two-dollar difference ....yikes.
I wanted to know what it actually costs a pre-retiree couple to land on the wrong side of 400% FPL — not in theory, but in real dollars by state. So I ran the KFF Health Insurance Marketplace Calculator twice for each state. Same couple, same plan tier, just two dollars apart in income.
(edit: This is for a couple aged 60, nonsmokers. KFF calculator gives 'silver' plan rates)
| zip | MAGI $84,599 | MAGI $84,601 | |
|---|---|---|---|
| Washington | 98270 | $701 | $2,704 |
| New Mexico | 87176 | $702 | $2,182 |
| New Jersey | 08619 | $702 | $2,266 |
| Massachusetts | 02201 | $702 | $1,644 |
| Colorado | 80233 | $702 | $2,119 |
| Minnesota | 55408 | $702 | $1,611 |
| Florida | 32856 | $702 | $2,829 |
| Arizona | 85018 | $702 | $2,013 |
| Alabama | 36116 | $702 | $2,643 |
| National Average | $700 | $2,598 |
A couple in Washington state — where I live — pays $701 OR $2,704 for the same Silver plan. That's a $24,000 a year difference for two dollars of income.
A few things that surprised me: Minnesota and Massachusetts came out best above the cliff — not because they targeted the cliff specifically, but because long-running reinsurance programs lower base premiums for everyone. Washington actually came out worst despite having Cascade Care Savings — silver loading inflates premiums on the other side of 400% FPL, actually worsening the cliff.
No state I looked at eliminates the cliff above 400% FPL. The best you can hope for is a shorter fall.
Anyone else factoring this into their withdrawal sequencing for bridge years before Medicare?