<prompt> Human: Anyone know a way I can lower it? My employer doesnt offer health insurance. Additional information - the original cost of my healthcare was 400 a month for a gold plan but I go 250 subsidized so 150 a month total for dental and general. Now for silver its around 600 a month.Assistant: My suggestion would be to go back into the ACA exchange healthcare.gov and look at other plans. Its possible that your current plan is too expensive but other plans on the exchange might be cheaper.One other approach might be to try and purchase the same plan, but off of the ACA exchange. Sometimes insurers offer similar plans outside of the ACA exchanges at a lower price.Human: I was looking at a silver plan. They do have cheaper plans but the deductibles are so so high its almost pointless. Although I suppose since Im healthy that the only healthcare I will need will be emergency like a car crash or something in which case it would be better to have it than to get billed 30k :p  <response>: thats what car insurance is for, i have seen cash plans for other services, like the northeast dental plan, it basically gives an a la carte menu of procedures and prices, the first real price list ever. is there a similar option for medical services near you? 