{"id":27143,"date":"2021-10-29T09:58:12","date_gmt":"2021-10-29T13:58:12","guid":{"rendered":"https:\/\/blog.eztaxreturn.com\/?p=27143"},"modified":"2023-06-05T13:11:07","modified_gmt":"2023-06-05T18:11:07","slug":"5-things-to-consider-when-choosing-a-health-insurance-plan","status":"publish","type":"post","link":"https:\/\/staging.eztaxreturn.com\/blog\/5-things-to-consider-when-choosing-a-health-insurance-plan\/","title":{"rendered":"5 Things to Consider When Choosing a Health Insurance Plan"},"content":{"rendered":"\r\n<p class=\"wp-block-paragraph\">The open enrollment period for 2022 <a href=\"https:\/\/en.wikipedia.org\/wiki\/Health_insurance\" target=\"_blank\" rel=\"noreferrer noopener\">health coverage<\/a> runs from November 1<sup>st<\/sup> until January 15, 2022.\u00a0 This is your chance to shop around for a new plan through the <a href=\"https:\/\/www.healthcare.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">Health Insurance Marketplace<\/a> or update the plan you already have.\u00a0 You must enroll by December 15<sup>th<\/sup> for coverage that starts January 1<sup>st<\/sup>.\u00a0 Here are five things to keep in mind when choosing a plan.<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-make-sure-your-current-providers-are-in-the-plan-s-network\" class=\"wp-block-heading\"><strong>Make sure your current providers are in the plan\u2019s network<\/strong><\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Once you find a <a href=\"https:\/\/en.wikipedia.org\/wiki\/Doctor\" target=\"_blank\" rel=\"noreferrer noopener\">doctor<\/a> you love, chances are you want to hold on to them forever.\u00a0 So, make sure your preferred doctors, <a href=\"https:\/\/en.wikipedia.org\/wiki\/Specialist\" target=\"_blank\" rel=\"noreferrer noopener\">specialists<\/a>, hospital, and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Pharmacy\" target=\"_blank\" rel=\"noreferrer noopener\">pharmacy<\/a> are in the plan\u2019s network.\u00a0 When you go to an out-of-network doctor or facility, you may be fully responsible for the cost of care and spend more than necessary.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">If you\u2019re on the hunt for a new doctor, find one that\u2019s nearby and within the plan\u2019s network.\u00a0 Consider the office hours, ask if they\u2019re accepting new patients, check their credentials and read patient reviews.\u00a0 Although everyone has their own opinion, if most people are saying the same things, it\u2019s probably true.<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-see-what-prescription-drugs-are-covered\" class=\"wp-block-heading\"><strong>See what prescription drugs are covered<\/strong><\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">If you\u2019re currently taking <a href=\"https:\/\/en.wikipedia.org\/wiki\/Prescription_drug\" target=\"_blank\" rel=\"noreferrer noopener\">prescription drugs<\/a> for an ongoing illness, you need to make sure that your medications are covered by your plan, or you\u2019ll have to pay out of pocket.\u00a0 Check their <a href=\"https:\/\/en.wikipedia.org\/wiki\/Formulary_(pharmacy)\" target=\"_blank\" rel=\"noreferrer noopener\">formulary<\/a> (list of covered drugs) to see if yours is on there.\u00a0 Usually, the medications will be categorized by tiers.\u00a0 The lower tiers are usually generic drugs and have the lowest copays.\u00a0 Some plans may require you to try the generic version first or require authorization for brand name medications.\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-7d812b4c wp-block-buttons-is-layout-flex\"><\/div>\r\n<!-- \/wp:post-content -->\r\n\r\n<!-- wp:heading -->\r\n<h2 id=\"h-your-monthly-premium\" class=\"wp-block-heading\"><strong>Your monthly premium<\/strong><\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph -->\r\n<p>Your premium is the amount you\u2019ll pay the insurance company monthly for coverage.\u00a0 If you fall behind on your payments, the insurance company can terminate coverage.\u00a0 Typically, the more benefits your plan offers, the higher your premium.\u00a0 Although health insurance can be pricey, you may be eligible for a <a href=\"https:\/\/en.wikipedia.org\/wiki\/Premium_tax_credit\" target=\"_blank\" rel=\"noreferrer noopener\">premium<\/a> <a href=\"https:\/\/www.eztaxreturn.com\/contact-and-support\/tax-terms.html#constructivereceipt\" target=\"_blank\" rel=\"noreferrer noopener\">tax credit<\/a> to help cover the cost of a Marketplace plan.\u00a0 Your credit is based on your income and household information.\u00a0 Be sure to update the Marketplace anytime you experience a change in circumstance so they can make the proper adjustments.\u00a0 If you receive more assistance than you qualify for, you\u2019ll need to repay the difference when you file your tax return.\u00a0 If you use less, you\u2019ll receive a refundable credit on your taxes.<\/p>\r\n<p>&nbsp;<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading -->\r\n<h2 id=\"h-the-plan-s-deductible\" class=\"wp-block-heading\"><strong>The plan\u2019s deductible<\/strong><\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph -->\r\n<p>Your <a href=\"https:\/\/en.wikipedia.org\/wiki\/Deductible\" target=\"_blank\" rel=\"noreferrer noopener\">deductible<\/a> is the amount you\u2019ll pay before your health plan covers the cost.\u00a0 So, if you have a $1,500 deductible, you\u2019ll be responsible for the out-of-pocket expenses until you reach that amount.\u00a0 After you hit your deductible, you may still have to pay a portion of the bill, but your insurance will cover the rest.\u00a0 Usually, the higher your deductible, the lower your monthly premium.\u00a0 This is an affordable option if you are generally healthy.\u00a0 Keep in mind, most health plans must cover preventative care services such as screenings and immunizations at no cost to you.<\/p>\r\n<p>&nbsp;<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading -->\r\n<h2 id=\"h-be-aware-of-the-copay-or-coinsurance\" class=\"wp-block-heading\"><strong>Be aware of the copay or coinsurance<\/strong><\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph -->\r\n<p>There are other costs associated with your insurance that you need to know.\u00a0 Even after you reach your deductible, you may still be responsible for a <a href=\"https:\/\/en.wikipedia.org\/wiki\/Copayment\" target=\"_blank\" rel=\"noreferrer noopener\">copay<\/a> or <a href=\"https:\/\/en.wikipedia.org\/wiki\/Co-insurance\" target=\"_blank\" rel=\"noreferrer noopener\">coinsurance<\/a>.\u00a0 A copay is a flat fee you pay at the time of service or when you pick up a prescription from the pharmacy.\u00a0 Coinsurance is a percentage of the medicals costs you\u2019ll be responsible for paying.\u00a0 Commonly, insurance companies will do an 80\/20 split which means your insurance will cover 80% of the bill and you\u2019ll pay 20%.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<h2 style=\"text-align: center;\">File your taxes fast, ez and stress-free in 30 minutes or less.<\/h2>\r\n<!-- \/wp:paragraph -->","protected":false},"excerpt":{"rendered":"<p>The open enrollment period for 2022 health coverage runs from November 1st until January 15, 2022.\u00a0 This is your chance to shop around for a new plan through the Health Insurance Marketplace or update the plan you already have.\u00a0 You must enroll by December 15th for coverage that starts January 1st.\u00a0 Here are five things [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":27218,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[5],"tags":[],"class_list":["post-27143","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general-discussion"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.13 (Yoast SEO v20.13) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>5 Things to Consider When Choosing a Health Insurance Plan<\/title>\n<meta name=\"description\" content=\"It&#039;s time to shop for a new plan through the Health Insurance Marketplace or update the plan you have.\u00a0Here are 5 things to keep in mind.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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