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We’ve outlined everything you need to know before diving into the health insurance shopping period. Print out our Health Plan Shopping List and check the boxes as you go.
A smart way to approach saving on health insurance isn’t always by comparing monthly premiums. It’s by evaluating health plans based on how much you’re going to pay over the course of the year when you add up premiums (your monthly payment to have insurance) and the costs you pay for medical services and drugs.
Even if two plans have the same premium, if one requires you to pay a lower cost for doctor visits and prescriptions, it could save you money in the long run.
For example, some plans cover generic prescription drugs for free, which can save you hundreds of dollars annually compared with other plans with the same monthly premium.
Honestly assess what healthcare services and drugs you’re likely to use for the whole year. That will help you select a plan that covers what you need and avoid paying for plan perks you aren’t going to use.
Financial aid for health insurance, otherwise known as a federal subsidy, is a type of financial assistance that can lower your monthly premium or reduce your out-of-pocket medical costs. The Advanced Premium Tax Credit lowers your monthly payment while a Cost Sharing Reduction subsidy helps lower the cost of deductibles, coinsurance, and copays.
Whether you qualify for subsidies depends on your income, family size, and the cost of health insurance in your area. Check your options for a subsidy through the healthcare exchange in your state.
You’d be surprised at how many independently insured people sign up for the same plan each year without shopping for better options. Would you make a major purchase at Target without checking the price on Amazon? Nope. So take the time to compare your current plan with new offerings to be sure you’re not paying more than you should for similar coverage.
If you don’t have a chronic illness, only see the doctor a handful of times a year, and have minimal generic prescriptions, it doesn’t make sense to have the Tesla of health insurance plans. Look for a plan that covers what you need most and acts as a safety net in case of an unexpected emergency.
During the Open Enrollment Period for individual health insurance, take a look at the individual health plans offered on the open market. You might find one with benefits and a price that fits you better.
Your company may contribute financially to your insurance premium cost, but they may not contribute to your spouse’s or kids’ plans (if they offer it to them at all). In that case, it probably makes sense to shop for private health insurance for your family members to see if there are other plans that fit their needs at a more appealing price point. You could be surprised at the savings you find here.
Do you think since you haven’t been to the doctor in years and don’t have any prescriptions, it’s smarter to just skip insurance altogether? Helpful Hint: it’s not smarter.
You’re leaving yourself open to financial catastrophe. Without health insurance, a car accident or major unexpected illness, such as COVID-19, can turn into bankruptcy in a matter of weeks.
Every day you’ll need to worry about avoiding injury or illness. Forget carefree skiing, travel, dance parties, bike rides, or commuting with germy passengers. That’s a heavy burden to bear, not to mention the cost of getting treated if you do crash or get sick. Get a comprehensive ACA-compliant plan or risk saving a dime to spend a dollar (or a few thousand).
Need more guidance? Watch our Shopping for Health Insurance 101 video for more help.