Democratic leaders have gone behind closed doors to hash out the final details of their health care reform proposals. No matter how they resolve the differences between the House and Senate versions, the final bil will, if passed, affect nearly every American to some degree, depending on how much money you make and how you currently get your health insurance.
The bill aspires to insure nearly every American. But citizens will have to buy insurance themselves.
The average health insurance plan for a family of four cost more than $13,000 in 2009 for a family, according to the Kaiser Family Foundation.
Here is a guide to how the reform bills might affect you, your pocketbook and your health coverage.
The basic tenet of both the House and Senate plans is that every American should have health insurance, whether provided by their employer, bought on the open market, or subsidized by the federal government. If not, they'll have to pay a fine on their tax bill. In most cases, the fine would be far less expensive than buying health insurance on the open market.
In order to find out how much insurance under the bill will cost you, answer the following simple questions:
How old are you?
If you are over 65 you've probably got Medicare. And that's not going to change. But if you have a bundled Medicare Advantage plan -- essentially a privately-administered Medicare HMO -- you might lose some of the additional perks you get. These can range from dental and vision coverage to gym memberships. Taxpayers pay up to 14 percent more per person for these bundled plans. Both the House and Senate health reform bills use this overpayment as one way to help fund coverage for people who currently don't have it.
Republicans have repeatedly raised concerns that the Democrats' health bills seek to cut Medicare future spending without affecting the services provided. Whether the cuts are possible without affecting the quality of Medicare remains to be seen.
With monthly premiums between $96 and $110 for most people, Medicare is still the most affordable and heavily subsidized health coverage available.
For those too young for Medicare and who don't have their insurance through an employer, age will play a factor too. Under both pieces of legislation, insurance companies can charge more to insure older people than younger. But both bills impose new restrictions on exactly how much more insurance companies can charge for premiums based on age and other factors.
Most Americans get health insurance through their employers -- more than 60 percent, according to census figures.
If this is you, in the short term at least, it is unlikely anything will change for you. Both bills seek to maintain the role of employers in providing health benefits by penalizing those employers who choose not to provide it. But the penalties are cheaper than providing insurance. In years to come it is possible that some employers would choose to pay the fine rather than continue to provide insurance.