r/HospitalBills 12d ago

Good bill

[deleted]

34 Upvotes

70 comments sorted by

View all comments

13

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.

1

u/Bulldogmom56 12d ago

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.

1

u/BostonDogMom 12d ago

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.

3

u/Bulldogmom56 12d ago

We did, when he got on Medicare the rules changed and they wouldn’t let him. As for me I exhausted mine in previous dr bills.