Health Insurance

Understanding Your Health Insurance Options During Open Enrollment

HMO, PPO, deductibles, and networks — a jargon-free guide to picking a plan that fits your family and budget.

A family reviewing health plan options together

Open enrollment is the one time each year most people can choose or change a health plan. A little preparation turns a stressful decision into a straightforward one. Start with how your family actually uses care, then match a plan to it.

Know the plan types

  • HMO: lower cost, but you stay in-network and use referrals.
  • PPO: more flexibility to see specialists and go out-of-network, usually at a higher premium.

Look past the premium

The monthly premium is only part of the cost. The deductible, copays, and out-of-pocket maximum determine what you actually pay when you use care. A low premium with a very high deductible can cost more overall for a family that visits the doctor often.

A simple checklist

  • Are your doctors in the network?
  • Are your prescriptions covered?
  • What is the true out-of-pocket maximum?

If you are unsure, a licensed advisor can compare plans side by side at no cost to you.

Get help choosing a plan

Get help choosing a plan