Thanks to the ACA, my cheap catastrophic-coverage-only health plan is going away, and I need to replace it.
On the California exchange, the cheapest alternative costs nearly twice as much per month as my current plan, and will cost way more out-of-pocket (over $6000, instead of $0) if I end up in a hospital. It also has a sky-high deductible. In practice, I'll be paying twice as much money for (1) continuing to pay for basic care out-of-pocket, and (2) I'll still be on the hook for a hefty chunk of change if something bad happens. This feels like a pretty raw deal.
I looked on the web sites of some major insurance companies, and they don't seem to offer any non-exchange plans starting in 2014.
Has anyone here come up with a reasonable workaround, or is everyone planning to just suck it up and pay? A "California Hackers" group health plan, perhaps? I would be interested in hearing the price options of such a thing, if anyone has set it up.
It's possible that they can't, and it's also possible that the state of California wouldn't allow them to even if they would (rumor is California was opting out of the delay).
Aside from that, I don't know that there are any great alternatives. The highest-risk gamble is to change your withholdings so that you won't get a refund, and then just take the penalty, which the IRS won't be able to collect as they're only authorized to take it from payouts -- no payouts = no penalty (though if you ever do qualify for a return, it would certainly be withheld then.
The lowest risk alternative is obviously to sign up for ACA, and just really, really hope that you don't need to engage it for services.
Lastly, if it's a serious concern (and it probably ought to be), you could look at getting a job that offers health care as a benefit.