Current:Home > MyPicking a good health insurance plan can be confusing. Here's what to keep in mind -AssetScope
Picking a good health insurance plan can be confusing. Here's what to keep in mind
View
Date:2025-04-24 17:16:25
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! (29)
Related
- Off the Grid: Sally breaks down USA TODAY's daily crossword puzzle, Triathlon
- Gap names fashion designer Zac Posen as its new creative director
- Georgia Republicans push requiring cash bail for 30 new crimes, despite concerns about poverty
- Travis Kelce and Patrick Mahomes are everywhere. Should overexposure be a chief concern?
- Newly elected West Virginia lawmaker arrested and accused of making terroristic threats
- NBA Slam Dunk contest: Jaylen Brown expected to participate, per report
- Marilyn Mosby mortgage fraud trial ends in split verdict for ex-Baltimore state attorney
- Taylor Swift explains why she announced new album at Grammys: 'I'm just going to do it'
- 'Most Whopper
- NTSB says key bolts were missing from the door plug that blew off a Boeing 737 Max 9
Ranking
- Grammy nominee Teddy Swims on love, growth and embracing change
- China gives Yang Jun, dual Australian national and dissident writer, suspended death sentence for espionage
- Cheese recall: Dozens of dairy products sold nationwide for risk of listeria contamination
- High school football gave hope after deadly Maui wildfire. Team captains will be at the Super Bowl
- Off the Grid: Sally breaks down USA TODAY's daily crossword puzzle, Triathlon
- Which states could have abortion on the ballot in 2024?
- Record rainfall, triple-digit winds, hundreds of mudslides. Here’s California’s storm by the numbers
- Travis Kelce and Patrick Mahomes are everywhere. Should overexposure be a chief concern?
Recommendation
Chuck Scarborough signs off: Hoda Kotb, Al Roker tribute legendary New York anchor
Man sailing from California arrives in Hawaii after Coast Guard launched search for him
Death of 12-year-old at North Carolina nature-based therapy program under investigation
A 73-year-old man died while skydiving with friends in Arizona. It's the 2nd deadly incident involving skydiving in Eloy in 3 weeks.
Travis Hunter, the 2
Las Tormentas: L.A. County Meets a Next-Level Atmospheric River
A Play-by-Play of What to Expect for Super Bowl 2024
Washington gun shop and its former owner to pay $3 million for selling high-capacity ammo magazines