Current:Home > MarketsPicking a good health insurance plan can be confusing. Here's what to keep in mind -MarketEdge
Picking a good health insurance plan can be confusing. Here's what to keep in mind
View
Date:2025-04-24 09:53:47
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! (24)
Related
- 'Vanderpump Rules' star DJ James Kennedy arrested on domestic violence charges
- Citibank employee fired after lying about having 2 coffees, sandwiches, and pastas alone
- Nearly 200 decomposing bodies removed from funeral home
- 4 men, including murder suspect, escape central Georgia jail: 'They could be anywhere'
- Appeals court scraps Nasdaq boardroom diversity rules in latest DEI setback
- What Google’s antitrust trial means for the way you search and more
- Natalie Sanandaji of Long Island describes escaping Israeli dance festival during Hamas attack: We heard the first gunshots
- Teen Mom's Kailyn Lowry Shows Off Her Placenta Smoothie After Welcoming Baby No. 5
- This was the average Social Security benefit in 2004, and here's what it is now
- Reviewers Say This $20 Waterproof Brow Gel Lasted Through Baby Labor
Ranking
- A White House order claims to end 'censorship.' What does that mean?
- Britney Spears Reveals Why She Really Shaved Her Head in 2007
- Man punched Sikh teen in turban on New York City bus in suspected hate crime, authorities say
- After Israel's expected Gaza invasion, David Petraeus says there needs to be a vision for what happens next
- Pressure on a veteran and senator shows what’s next for those who oppose Trump
- Jax Taylor Reveals He’s in “Contract Negotiations” With Brittany for Baby No. 2
- Man who, in his teens, shot and killed Albuquerque mail carrier sentenced to 22 years
- 19 suspects go on trial in Paris in deaths of 39 migrants who suffocated in a truck in 2019
Recommendation
Former Danish minister for Greenland discusses Trump's push to acquire island
Clemson's Dabo Swinney: 'Maybe we need to lose a few games and lighten up the bandwagon'
Rockets trade troubled guard Kevin Porter Jr. to Thunder, who plan to waive him
Martin Scorsese's Killers of the Flower Moon: A true story of love and evil
Meta releases AI model to enhance Metaverse experience
Manhunt enters second day for 4 Georgia jail escapees. Here's what to know.
Autoworkers used to have lifelong health care and pension income. They want it back
Amid Israel-Hamas war, Muslim and Arab Americans fear rise in hate crimes