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There was much support for strategies that enable people to exercise healthful choices--for example, menu labeling and improving access to nicotine patches--but considerably less for more coercive measures, such as insurance premium surcharges.
The income-related premium surcharges, including the hit to the new $500,000-plus group, apply to Part D premiums for drug coverage too.
Depending on your income, various gotchas (including the alternative minimum tax, the Medicare Part B premium surcharges on the better off and the formula for taxing Social Security benefits) could affect the answer.
The graduated high-income premium surcharges for seniors kick in for singles with a modified adjusted gross income of more than $85,000 and for couples with a MAGI of more than $170,000.
According to data from the Center for American Progress, individuals with metastatic cancer could have premium surcharges around $142,650.
Others, however, predicted that insurers would react by imposing higher surcharges than planned on younger smokers, raising the premium surcharges on older smokers as well.
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As Patrick Henry might have put it: give me a continuous coverage premium surcharge as opposed to a tax penalty, or give me death.
The AHCA offers in its place a continuous-coverage requirement that would impose a 30percentt premium surcharge for a year on individuals who failed to maintain continuous coverage.
The proposed bill would also repeal the individual mandate and replace it with a continuous coverage requirement that would add a 30% premium surcharge for people who let their insurance lapse during the previous year.
Instead of the mandate, insurers would be allowed to impose a 30percentt premium surcharge on consumers who purchase a new plan after letting their previous coverage lapse — incentivizing healthy people to remain insured.
They pay a graduated high income premium surcharge.
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