Understanding Health Insurance

Familiarize yourself with basic health insurance terminology. Key terms include:
- Premium: The amount you pay for your health insurance every month.
- Deductible: The amount you pay out-of-pocket for covered health services before your insurance plan starts to pay.
- Copay: A fixed amount you pay for a covered healthcare service after you've paid your deductible.
- Coinsurance: Your share of the costs of a covered healthcare service, calculated as a percent of the allowed amount for the service.
- Out-of-pocket maximum: The most you have to pay for covered services in a plan year.

Learn about different types of health insurance plans:
- HMO (Health Maintenance Organization): You usually must get care and services from providers in the plan's network, except in an emergency.
- PPO (Preferred Provider Organization): You pay less if you use providers in the plan’s network; you can use doctors, hospitals, and providers outside of the network for an additional cost.
- EPO (Exclusive Provider Organization): You have a moderate amount of freedom to choose your health care providers, but you must stay inside the plan's network.
- POS (Point of Service): You pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network.

Consider your healthcare needs including how often you visit doctors, if you have regular prescriptions, and whether you prefer a specific doctor or clinic.

Compare health insurance plans based on factors such as premiums, deductibles, copays, and coinsurance, taking into account your regular healthcare needs and financial situation.

Ensure that your preferred doctors and hospitals are included in the health insurance plan’s network.

Carefully review the summary of benefits for each health insurance plan you are considering to understand what is covered and what is not.

Choose the health insurance plan that offers the best combination of coverage, cost, and network suitable for your situation.

Be aware of enrollment periods, as there are specific times during the year when you can sign up for health insurance or change your plan.

Know that certain life events, such as getting married, having a baby, or losing other coverage, may qualify you for a Special Enrollment Period.

Investigate whether you qualify for any assistance programs that can help reduce the costs of health insurance, based on income or other factors.