This Credit Suisse First Boston report shows subsidies, state by state. Click on image to see report, then scroll down for the charts.

SUMMARY: This list of 10 tips and tools for insurance shopping that I wrote was originally posted on the blog at, where I am a contributor, and distributed to the network. The chart of state-by-state subsidies from Credit Suisse drew a lot of attention. 


If your state built its own exchange, you might be very happy (Kentucky and New York, generally) or sort of happy (Oregon, where paper forms are now being used). If your state left the job to the feds – meaning you are consigned to with its tech problems – you are most likely less happy.

Don’t worry: you’ve got some time. Decisions should be made by Dec. 15 for coverage beginning Jan. 1.

We’re here to help. Here are 10 of our best tools and tips.

1. Do your homework. Get your information from an unbiased source, and from someone who’s not trying to sell you something. Some of the news coverage is wrong, and a lot of the private-party and big-company information tools  may malfunction, or simply point you toward a purchase of the big company’s products. They ask you to give up a lot of info (on the United HealthCare site, for example, e-mail, family details, medical history) and give vague info in return . Some of the “decision support” tools direct you into plans but can’t calculate a subsidy, or don’t suggest other insurers’ products.

2. The Kaiser Family Foundation made this great subsidy calculator to let you figure out if you qualify for a subsidy, and how much it might be. It works like a charm … but are the numbers correct? Hard to say, since many people have not yet chosen a plan or written a check. The site says these are rough estimates. (A chart in a Credit Suisse First Boston report, right, has some of the same info.)

3. Planning to go without, or wondering if you should? This calculator walks you through what penalty you might expect for an individual;  this tool walks you through what penalty you might expect for a family.

4. Do you have cancer or some other serious illness? Here’s help: The Cancer Insurance Checklist, made in a partnership of some powerhouse organizations. Do you have AIDS? A website for people with AIDS  from the Kaiser Family Foundation, gives insurance tips that might be useful.

5. Not sure where your state’s exchange is? Find it here.

6. Want to know the premium rates in your state? Here’s a handy page  from Kaiser Health News. It has links to the individual state exchanges, with rates, and also a link to the listing of premiums for the 36 states where the federal government is running the exchange.

7. Living in a state where you’re dependent on and feeling that you’re in the dark? Don’t lose hope. Many of us in states where the exchange is functioning are finding that prices and coverage are much better than before on COBRA or on the private market. Example: I’m a head of household, nearing 60, with twin daughters, now 19. Our premiums on COBRA were $2,000 a month in New York about a year ago for pedestrian coverage and no pre-existing conditions. That’s what the private market looked like, too. After a period on insurance from a part-time job, I’m again insuring myself, and looking on the exchanges, and finding premiums to be much lower. On the other hand, Charlie Ornstein at ProPublica wrote about a couple in California who found their premiums to be higher ($1,300 instead of $550 for the two), their deductible to be higher ($4,500 instead of $4,000) and lesser options on the California exchange. As they say, your results may vary.

8. Also, we hear: if you don’t qualify for a subsidy, the private market (insurers who chose not to sell on the exchanges or comply with exchange rules) may be a good alternative.

9. There are many other subtleties. The New York Times told us, for example, that silver plans qualify not only for premium subsidies, but also for cost-sharing on co-pays, depending on income, meaning that might be your best option. Read the fine print!

10. A lot of people actually qualify for free or nearly free insurance because of government subsidies. A recent series of reports says that as many as 7 million people might qualify, though it varies greatly from state to state (40 percent of the uninsured in Missouri, vs. 2 percent in New Jersey, according to this New York Times article). To see subsidy levels state by state, click here or click on the image above. You’ll see the Credit Suisse First Boston report; scroll down for the charts.

Shopping for Insurance

Didn’t sign up yet? You’re not alone. A new study from the Commonwealth Fund on the first month of the exchanges says just one in five visitors to or the state marketplaces actually enrolled in a plan in the first month. Of those who did not enroll, 37 percent cited technical difficulties as a reason, while 47 percent said they weren’t sure they could afford a plan, 46 percent said they were still trying to decide, and 42 percent said they thought the copays and deductibles are too high. “A majority of survey respondents, however, appear determined to gain coverage over the next few months,” the survey added.

As a New Yorker, where the state-run exchange is my choice, I’m pretty much OK. I haven’t chosen yet, but feel sure I’ll have the tools to do so.

On the other hand, my friend Casey Quinlan, a very web-savvy and well-informed resident of Virginia, where is the only choice, reports that she couldn’t use the site with the Chrome browser. She also reports:


–       Discovering that most of the “get more information” linkage leads to
what amounts to a feedback loop. If you contact the plans, they direct you
back to and the toll-free number. Detailed plan info is hard
to get. The Anthem plans I looked at had NO, I repeat NO, plan details
available on their site. Page said “this content is not here.” Wow.
– The process itself, once you get in, is pretty easy to navigate,
web-wise, but there are a host of (as mentioned above) yet-unanswered
– I have enrolled in a plan, but have heard nothing from either HHS or
the plan itself (Coventry/Bon Secours Carelink) since. Still no bill for
1st month premium.


Casey, known as @MightyCasey and “the Mighty Mouth,” author of “Cancer for Christmas” and uninsured since she completed treatment for breast cancer in 2008, added: “Overall, as a sophisticated and experienced health insurance consumer who has purchased individual and small business plans in the past, I’m left wondering how someone with no experience shopping for health insurance will navigate the process and wind up with something they’re happy with …”


My friend Nick, who went through, said: “Biggest issue I found was that there’s no way to see a real side-by-side comparison of plan details. In some cases, the site will pass you to a specific carrier’s site to see plan details. In many cases, the URL re-direct didn’t work. That said, I was still able to find a plan where my providers were in network and the out of pocket expenses were within my bounds.”

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These resources and a few others can be found on our insurance shopping page.


Jeanne Pinder

Jeanne Pinder  is the founder and CEO of ClearHealthCosts. She worked at The New York Times for almost 25 years as a reporter, editor and human resources executive, then volunteered for a buyout and founded...