Current:Home > MarketsPicking a good health insurance plan can be confusing. Here's what to keep in mind -Pinnacle Profit Strategies
Picking a good health insurance plan can be confusing. Here's what to keep in mind
View
Date:2025-04-14 06:21:26
HMO, PPO, FSA – OMG!
Open enrollment season is upon us, and it's time to sign up for a health insurance plan for the next calendar year. But between the alphabet soup of acronyms and all those daunting data tables, it can be hard to figure out which plan to choose.
While we know this task isn't as exciting as spooky szn or pumpkin-spiced everything, it's important for your health (and will serve you a lot longer than that polyester Halloween costume).
The good news: Life Kit has expert advice to help take the scary out of this process. Here's a cheat sheet of what to keep in mind as you make a decision.
Read your plan's summary of benefits
The first step is to know what's in your health insurance plan, says Tasha Carter, the insurance consumer advocate for the state of Florida. "Many consumers fail to take advantage of the benefits that are offered by their health insurance policy simply because they don't know they exist – or even worse, they end up paying out of pocket for expenses that may have been covered."
So, even though you've had the same plan for years, take a few moments to look over your plan's latest summary of benefits. Health insurance companies are required to provide a summary of benefits and coverage written in simple language. If you don't get it in the mail at the beginning of the year, log on to your health insurance website or call the number on the back of your insurance card and ask for it.
"Oftentimes, insurance companies make changes to benefits, so you want to make sure you understand what those changes are and how they may impact you" and your health, Carter says. Listen to our episode on how to maximize your health insurance coverage here.
Get a sense of your medical needs from a doctor you trust
That can dictate what kind of health insurance you might need in the coming year. "Having someone who's been following you, ideally for years, is extremely valuable in helping you to make decisions" about your health care — and therefore your coverage plan, says pediatrician Dr. Nicole Rochester.
And make sure your preferred primary care doctor and prescription medications are still covered by your insurance, says Aaron DeLaO, formerly the director of health initiatives at the nonprofit group Foundation Communities. Otherwise, he says, you should it "eliminate it" and "find a plan that's going to cover those."
Demystify health insurance jargon
Learn what common health insurance terms like "CHIP," "cost-sharing" and "deductible" mean. It can empower you to better understand what signing on to a plan might mean for your budget and your health. Read our handy glossary of terms here.
Take advantage of freebies ...
Even if you have a bare-bones plan with high deductibles, screenings and other preventive care should be included in your coverage, says Carter, the insurance consumer advocate. That includes screenings for diabetes, cholesterol and blood pressure. To get a handle on what you might need in the coming months, check out this list of recommended screenings by age compiled by the American Academy of Family Physicians.
... and perks
Another advantage of reading your insurance coverage plan super carefully? You might discover useful benefits. Your insurer, for example, might offer discounts to your local gym membership or services that improve your quality of life, like LASIK surgery or massages.
The digital story was edited by Malaka Gharib. We'd love to hear from you. Leave us a voicemail at 202-216-9823, or email us at LifeKit@npr.org.
veryGood! (872)
Related
- Tree trimmer dead after getting caught in wood chipper at Florida town hall
- Oklahoma panel denies clemency for death row inmate, paves way for lethal injection
- 75-year-old Phoenix man arrested in 42-year-old Kansas killing
- Amid Louisiana’s crawfish shortage, governor issues disaster declaration
- Meta donates $1 million to Trump’s inauguration fund
- Can AI help me pack? Tips for using ChatGPT, other chatbots for daily tasks
- Biden to call in State of the Union for business tax hikes, middle class tax cuts and lower deficits
- Former deputy convicted of violated civil rights, obstruction of justice
- Grammy nominee Teddy Swims on love, growth and embracing change
- States in Colorado River basin pitch new ways to absorb shortages but clash on the approach
Ranking
- Have Dry, Sensitive Skin? You Need To Add These Gentle Skincare Products to Your Routine
- Video shows Tesla Cybertruck crashed into Beverly Hills Hotel sign; Elon Musk responds
- South Carolina Supreme Court to decide if new private school voucher program is legal
- Detroit woman accused of smuggling meth into Michigan prison, leading to inmate’s fatal overdose
- DoorDash steps up driver ID checks after traffic safety complaints
- Tre'Davious White, Jordan Poyer among Buffalo Bills' major salary-cap cuts
- Jury picked in trial of 2nd parent charged in Michigan school shooting
- Steely Dan keyboardist Jim Beard dies at 63 after sudden illness
Recommendation
The Best Stocking Stuffers Under $25
Photos of male humpback whales copulating gives scientists peek into species' private sex life
The Masked Singer Epically Pranks Host Nick Cannon With a Surprise A-List Reveal
Ex-Virginia lawmaker acquitted of hit-and-run charges
Sarah J. Maas books explained: How to read 'ACOTAR,' 'Throne of Glass' in order.
Super Tuesday exit polls and analysis for the 2024 California Senate primary
Biden to call in State of the Union for business tax hikes, middle class tax cuts and lower deficits
Maryland abortion clinics could get money for security under bill in state Senate