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Making Decisions During Open Enrollment

Since health plans change year to year here are some obvious—and not so obvious—things to look for when planning your health coverage.

The obvious: Costs

Compare your existing plan to the new plan or plan options available to you to determine any changes in costs. Things to look for:

  • Deductible, co-pay, or out-of-pocket maximum amounts
  • Costs to cover your spouse or dependents 
  • Monthly premiums
  • New options to enroll in an FSA or HSA
  • Added services like virtual consultations which may reduce the need for urgent care visits – and costs

Comparing costs is just a first step and shouldn’t be the only criteria for choosing or making changes to your health plan. Reviewing your medical needs alongside costs will help you make the best decision for you.

The less obvious: Coverage

Coverage can change even if you stay with the same insurance plan. Healthcare providers may move from in-network to out-of-network or certain prescriptions may be covered differently.

Make sure your favorite doctors and health care facilities remain included in your insurance plan by calling their offices or checking your healthcare provider’s website. 

Check that any prescriptions you currently take will still be covered at the same amount. If you require a specific brand of prescription (non-generic) its especially important to talk to your Benefits administrator to ensure it’s included in your new health plan.

Look for any new coverage for things like dental and vision or treatments like acupuncture and massage. Know what is available to you.

The unknown: Care 

Your best resource for You can’t plan for everything but you can look for updates offered through your insurance that could better meet your healthcare needs. 

Look to see if your employer has added or expanded any voluntary benefits like dental and vision coverage. These are items that aren’t legally required to be provided. Voluntary benefits also include things like pet insurance, backup elder care, and disability. 

If you receive treatments like chiropractic care or acupuncture, check for any changes in coverage or reimbursement.

You’ll also want to review your wellness plan—if your employer has one—and look for any new incentives you can use like virtual coaching, nutritional planning, or fitness tracking. 

At the end of the day, it’s important to take advantage of all the benefits your insurance plan has to offer. Make sure you carefully review your options—you might find some great additions. Once you’re enrolled and your new plan kicks in, we’ll be here to help you take advantage of all that’s available to you.

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