Didn’t know that about network contracts.
As for my 401k I’ve had to dip into to help pay for ACA premiums for the last 5 years and they have taxed me on it as well as raised my income level to the pint I make $5000 above what financial aid will pay.
Assuming it's a traditional 401k, that's how they work. You don't pay taxes now; you pay taxes when you withdraw the funds. (OP, I'm just explaining for other people here, not implying that you didn't know that).
Too late for OP but for everyone else: THIS IS WHY HSAs EXIST. If OP put $10,000 in an HSA over the course of their career, they can withdraw the money to cover copays, deductibles, etc both before and after Medicare eligible without a tax penalty.
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u/Cultural-Ad1121 12d ago
I believe your 401k does not affect ACA requirements. That is not earned income.
And the hospital cannot negotiate with you if they have an in network contract. It would violate their contract with the insurance.