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An insurer can also charge up to 3x rates based on age under the ACA. Prior to the ACA limiting the differential the market spread was about 5x from young to old in terms of age.

Smokers only have to pay 50% more so being old will effect your rates more than smoking will under the ACA.



Everyone ages though so that wasn't something I would consider being a penalty like smoking (or previously a credit rating).




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