Oh, its possible. This is my adjusted rate after insurance. Prior to the ACA I did not pay anything. Prior to the ACA I had reasonable co-pays for all of my medical appointments. When you hear on the news that some are paying sky high deductibles, premiums and are now spending huge amounts of their incomes on healthcare - its true! And everyone in Washington just went home rather than fix this. Unfortunately colleges also aren’t asking how much we are spending on health insurance and healthcare costs - we qualify for nothing there either. It’s great fun.