This editorial in the New York Times describes what is being considered for a “Non-Pulic Option.”
MEDICARE BUY-IN People ages 55 to 64 who are eligible to use the exchanges would be permitted to buy coverage from Medicare. Unlike older Americans, this younger group would have to pay the full premium themselves unless their incomes are low enough to qualify for subsidies. The premium could be in the neighborhood of $7,600 a year for single coverage.
REGULATED NONPROFIT INSURANCE For people below age 55 who are not enrolled in group coverage, the insurance industry would have to create an array of nonprofit insurance plans to compete with for-profit plans on the exchanges in every state. (If industry fails to do this, the government would create them.) The plans would be approved and supervised by the government’s Office of Personnel Management, which administers the health insurance plans offered to members of Congress and federal employees.
I would qualify for the Medicare buy-in, but the yearly cost of $7,600 amounts to about 5 times what it costs me to purchase Blue Cross Blue Shield of Kansas from my employer. How can anyone even pretend that these options would be competitive with private insurers? It is a farce as far as I am concenred.