Current:Home > StocksPicking a good health insurance plan can be confusing. Here's what to keep in mind -Quantum Capital Pro
Picking a good health insurance plan can be confusing. Here's what to keep in mind
View
Date:2025-04-16 15:25:59
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! (53336)
Related
- Sonya Massey's father decries possible release of former deputy charged with her death
- 2 New York City police officers shot while responding to robbery, both expected to survive
- No. 1 Iga Swiatek falls to Qinwen Zheng at the Olympics. Queen has shot at gold
- 'Just glad to be alive': Woman rescued after getting stuck in canyon crevice for over 13 hours
- House passes bill to add 66 new federal judgeships, but prospects murky after Biden veto threat
- As a historic prisoner exchange unfolds, a look back at other famous East-West swaps
- After Gershkovich and Whelan freed, this American teacher remains in Russian custody
- Facing rollbacks, criminal justice reformers argue policies make people safer
- Meet first time Grammy nominee Charley Crockett
- 'Just glad to be alive': Woman rescued after getting stuck in canyon crevice for over 13 hours
Ranking
- Sam Taylor
- Browns RB D'Onta Foreman sent to hospital by helicopter after training camp hit
- Can I afford college? High tuition costs squeeze out middle-class students like me.
- ‘He had everyone fooled': Former FBI agent sentenced to life for child rape in Alabama
- The city of Chicago is ordered to pay nearly $80M for a police chase that killed a 10
- Man shot to death outside mosque as he headed to pray was a 43-year-old Philadelphia resident
- An 'asymmetrical' butt? Why Lululemon pulled its new leggings off shelves
- What is August's birthstone? There's actually three. Get to know the month's gems.
Recommendation
Krispy Kreme offers a free dozen Grinch green doughnuts: When to get the deal
ACLU sues Washington state city over its anti-homeless laws after a landmark Supreme Court ruling
The number of Americans filing for jobless claims hits highest level in a year
Jamie Lee Curtis Apologizes for Toilet Paper Promotion Comments After Shading Marvel
Jamie Foxx gets stitches after a glass is thrown at him during dinner in Beverly Hills
Powerball winning numbers for July 31 drawing: Jackpot at $171 million
Marketing firm fined $40,000 for 2022 GOP mailers in New Hampshire
Russia releases US journalist and other Americans and dissidents in massive 24-person prisoner swap