Health insurance is vital to maintaining your well-being, but how often do you review your plan? If it’s been a while, or you’re unsure whether your current coverage still suits your needs, now is the time to take a closer look—especially with Open Enrollment is here.
Why Reviewing Your Plan is Important
Life changes, and so do your healthcare needs. Maybe your health has shifted due to a new diagnosis, or your family circumstances have changed. Without periodically checking your plan, you cannot be sure your coverage aligns with your current needs.
While it’s easy to assume that having any health plan means you’re covered for all costs, not all plans are equal. If your plan doesn’t have the specific coverage you need, expenses could fall on you. Reviewing your policy now can help you feel confident and prepared later—and with 2025 Open Enrollment here, it’s the perfect time to ensure your plan suits you.
Evaluating Your Healthcare Needs
To ensure you’re on the right plan, evaluate your current and future healthcare needs. Consider any ongoing treatments, prescriptions, or planned procedures. Remember, health insurance isn’t just for when you’re sick; it covers preventive services like check-ups and screenings, too.
When reviewing your insurance policy, ask yourself:
- What are your coverage limits? Look for caps on services you may need.
- Are your prescriptions covered? Check if your medications are approved under your plan.
- Do you have access to specialists? Ensure your providers are included in your network.
Adobe Population Health is here to support you in this process. Our social workers work closely with our members to help them understand their plans and ensure they maximize all benefits, achieving a 33% reduction in claim costs year-on-year.
How to Choose the Right Plan
Checking that your coverage matches your healthcare needs is just the beginning. You must also compare costs, providers, and timeframes for receiving care:
- Health Plan Tiers: Plans are grouped into four categories: Bronze, Silver, Gold, and Platinum. These indicate how costs are shared but don’t reflect the quality of care. Understanding these categories can help you find the right balance between what you pay monthly and when you receive care.
- Total Costs: Each plan involves costs beyond monthly premiums, such as deductibles and co-pays. When evaluating plans, consider these costs. A plan with a lower premium might seem appealing, but if it comes with high deductibles of $1,400 or more, you could pay more if you need frequent care.
- Network Types: Different plans offer different providers. Some are limited to in-network doctors, whereas more expensive plans may also cover out-of-network providers and specialists. You need to decide which option best fits your lifestyle, especially if you have specific providers you prefer to see.
Choosing a Health Plan: Where to Get Help
So, are you on the right plan? If you’re unsure, don’t try to figure it out alone. Contact insurance brokers or health benefits coordinators, who can provide guidance and answer any questions. Adobe social workers can also help you evaluate your current plan and ensure you’re maximizing your benefits.
Contact Adobe for more information on choosing the best coverage. With Open Enrollment here, now is the perfect time to ensure you’re covered—for whatever life has in store.