Navigating Open Enrollment: Five Tips For Making The Most Of Your Health Insurance Options
(NAPSA)-If you are one of the 158 million Americans who
receive health benefits through their job, the open enrollment period is
a critical-and often confusing-time of year. During this window, you
have the opportunity to select or make changes to health insurance plans
for you and your family.
With health benefits and costs ever changing, it can be difficult to
figure out the plan that will best meet your health care needs. But with
some guidance and planning, you can feel confident making a thoughtful,
informed choice.
Tip #1: Take stock of your current plan.
Consider what you like about your plan and what you would change. Are
you satisfied with the level of service and support you receive? Has
your insurance covered your medical needs? Does the deductible and
out-of-pocket maximum fit into your budget? Carefully review co-pays for
office visits, hospital stays and prescriptions to help decide if you
might need more or less coverage.
Tip #2: Think about your future health care needs.
Ask yourself how your health has changed in the past 12 months and if
you can project changes in the next year. You may plan to have a baby or
have been diagnosed with a chronic condition that will require more
doctor visits or prescription medication. It's important to review your
options with these factors in mind.
Tip #3: Consider what you want from your physicians and providers.
Do you need the option of going to a large network of doctors,
specialists and hospitals? Will they help you stay healthy as well as
care for you when you are sick? Can you get health advice over the phone
or online when you cannot or may not want to come into the doctor's
office? Perhaps most important, will your providers work together to
ensure that you are getting consistent care at every point of contact?
Tip #4: Factor in convenience.
Consumers are demanding easier and faster access to information,
especially online. In plans like Kaiser Permanente, members are offered
online assessment tools to help them reduce stress, stop smoking and
lose weight, among others. They can also securely access their personal
health records from home; e-mail their physicians; order prescriptions;
make, change and cancel appointments for themselves or for family
members; and even view lab results-all on the Web, and at no extra
charge.
Tip #5: Examine all costs, and evaluate a plan's total value.
The plan with the lowest premium may end up costing you more in the long
run. Look at the services-such as online tools, preventative screening
and vaccination reminders, or health education classes-that a plan
provides to help you actively manage your health. Consider if there is
an investment in electronic health records (EHRs), which can reduce
medical errors and give doctors a more complete picture of your health
than separate paper charts. If the benefits of EHRs are important to
you, evaluate your options carefully; not all health plans have made the
leap from paper to electronic records.
It takes a bit of effort to be an informed health care consumer, but it's definitely time well spent.
Look for a health insurance plan with features that help you actively manage your health.