Four Considerations When Selecting A Health Plan Page 3 of 7
Premiums: How much does the health plan cost per month?
- Bronze health plans have the lowest premiums and highest deductibles.
- Silver plans cost more but include copays for certain services and usually lower deductibles.
- Gold plans have the highest premiums, usually lower copays, deductibles, and MOOPs.
Plan Benefits: What are the plan benefits and coverages?
- Identify the plan's copays, deductibles & coinsurances.
- What is the plan's "maximum out of pocket" for the year?
- View the plan's "Summary of Benefits" for detailed plan info.
Network Strength: Are there a lot of doctors and hospitals In-network?
- Does your doctor accept this plan?
- Identify which hospitals accept the plan.
- Does the network extend out of state?
Max-Out-of-Pocket: What is your maximum out of pocket for the calender year?
- All covered expenses go towards your maximum-out-of-pocket which includes copays, deductibles and coinsurances, including prescriptions.
- Once your max-out-of-pocket has been met, the carrier pays 100% of your covered medical and prescription claims for the remainder of the year.
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