NerdWallet's Smart Money Podcast - Open Enrollment: Choosing a Healthcare Plan (HMO, PPO, FSA, HSA, HDHP and More)

Episode Date: November 7, 2024

Expert Nerds talk through the complexities of open enrollment, starting with ways to assess healthcare plans and costs. This episode takes a deep dive into specific terminology and scenarios relevant... to choosing health insurance coverage. Hosts Sean Pyles and Liz Weston start with an overview of open enrollment period timelines for November and December 2023 before welcoming guest Nerd Kate Ashford to explain deductibles, premiums, HMOs, PPOs and HDHPs.  Then, NerdWallet’s Tina Orem joins the show to discuss the pros and cons of high deductible plans and the intricacies of Health Savings Accounts (HSAs) and both Medical and Dependent Care Flexible Spending Accounts (FSAs). In the second half of this episode, she zeroes in on selecting optimal health insurance for individual needs, discussing the merits and disadvantages of different health plans, budgeting for healthcare, and how to compare the benefits of an FSA and an HSA. In their conversation, the Nerds discuss: open enrollment, health insurance options, healthcare choices, high deductible plans, premiums, health savings accounts (HSAs), flexible spending accounts (FSAs), optimal health insurance, HMOs, PPOs, HDHPs, health insurance budgeting, FSA vs HSA, the use it or lose it rule, health insurance decision-making, health insurance terminology, healthcare strategies, health plan selection, medical costs, and types of health insurance coverage. To send the Nerds your money questions, call or text the Nerd hotline at 901-730-6373 or email podcast@nerdwallet.com. Like what you hear? Please leave us a review and tell a friend.

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Starting point is 00:00:00 Hey listeners, Sarah here with a super quick announcement before we get into today's episode on open enrollment. I just want to let you know that we will be talking about the results of this week's election in a special episode this Monday. So no politics today, but know that our editors are hard at work. So we can help you understand what the results mean for your finances. Now, enjoy today's episode. Hello, dear listeners, Sean here. Today and this month, we're reprising a special series we brought you last year on open enrollment. It was so nice, we're running it twice. Plus, we miss our old friend Liz Weston and wanted to bring her out of retirement, sort of. This series is chock-a-block with specifics on this really important time of
Starting point is 00:00:42 year when a lot of people are choosing their healthcare and other benefits. So sit back, perhaps with a cup of something delicious, pumpkin spice, peppermint, or not, and enjoy. Decisions, decisions. Sometimes it's hard to make them. And that goes double when you're trying to figure out which health plan to choose during open enrollment. How much health care do you use? How often do you see the doctor? Do you have any major surgeries or procedures coming up? Are you planning to try for a baby? Do you have small children? All of these things can affect what kind of plan makes sense for you. Welcome to NerdWallet's Smart Money Podcast. I'm Sean Piles. And I'm Liz Weston. This episode kicks off our nerdy deep dive into open enrollment. Yay! Liz? Liz? Sean, did you just yay open enrollment? Sarcastically.
Starting point is 00:02:00 Oh, okay. Well then, yes. Yay. And I'm confident in predicting that nobody actually says that at this time of year. Yeah. It's not my idea of fun to sit down and try to figure out if I want a high deductible plan, what my premiums will be, what prescriptions are covered or not, if I should use an HSA or FSA, how to decide on life insurance and disability. John, you're spinning out, as we all want to do during open enrollment. And for those who aren't following along too closely, open enrollment is that time of year, typically anywhere from October to mid-December, when people in employer-sponsored health plans and public and private health plans, including through Affordable Care Act exchanges, get to choose their individual and family plans for the coming year. Right. And we are smack in the middle of that right now.
Starting point is 00:02:43 It's kind of like tax time in April and sometimes just as confusing. And fraught. Because if you make a mistake, you're stuck with it for a year. Exactly right. And we as a populace are not too good at making the right choices. In one study, more than 80% of the employees at a Fortune 100 company picked the wrong health insurance plans. They went with low deductible options that ultimately cost them more. Another study found that inertia, sticking with the same plan rather than evaluating the options each year and choosing a better one, cost workers an average $2,032 annually. Sheesh.
Starting point is 00:03:20 And Liz, health insurance is often just one of the decisions we have to make during open enrollment. Should we get our company's life insurance or buy our own, use a flexible spending plan or health savings account? Do we really need disability insurance? And what about some of the newer benefits employers are adding, like pet insurance or adoption assistance? How much of this is must-? How much is nice to have?
Starting point is 00:03:45 And how am I going to afford all of it? That last question is really the crux of all this, isn't it? It is. Well, we are coming to the rescue for those of you who haven't made those decisions yet. And if you already have, good for you. We hope you chose well. But if you're still in the morass of plan evaluation, we are going to walk you through a lot of the process over the next three weeks of this series. So get a cup of coffee and get out your plan options, and we'll see if we can help you sort it all out. Today, it's health care. Episode two, we're covering all kinds of other insurance, including disability. And episode three, we're talking about vision, dental, pet care, and more.
Starting point is 00:04:23 I mean, how bad can it be? We're talking about benefits. Benny is for one and for all. All right. Well, we want to hear your stories about open enrollment, the good, the bad, and the ugly. Have you timed how long it takes you? Are you cool with your options? What else do you think should be covered by insurance? Leave us a voicemail or text the Nerd Hotline at 901-730-6373. That's 901-730-NERD or send a voice memo to podcast at nerdwallet.com. So Liz, where do we start today? Well, we're going to lead off with health insurance because that is the biggest challenge for most people in terms of the breadth of options to choose from and the math they have
Starting point is 00:05:03 to do to figure out what's best for them and their families. And for this, we're going to talk with our fellow nerd, Kate Ashford. She's written about health insurance for years, and she's a certified senior advisor who covers Medicare and retirement topics for NerdWallet. Kate, so glad you could join us on Smart Money. It's so fun to be here. I appreciate you having me. So when you hear the words open enrollment, what happens in your brain? Well, I'm a health insurance nerd, but even to me, open enrollment feels like homework. You've got to wade through the fine print and you've got to do some math and it all feels a little tedious.
Starting point is 00:05:40 Actually, it really feels a lot tedious. Yeah, for me, it's basically a trigger to run away to Europe for a month or two to avoid the whole thing. But all jokes aside, this is serious business and incredibly complex. So let's start with some of the real basics. We hear these terms all the time, but it doesn't mean that we really understand them. So Kate, how about explaining premiums and deductibles for us? Sure.
Starting point is 00:06:02 The premium is what you pay each month for your health insurance. If you're getting insurance through work, this is probably taken right out of your paycheck. And the deductible is the amount you pay out of pocket before your health insurance starts to cover things. So if your plan has a deductible of $500, you'll pay for the first $500 of medical costs before your insurance starts to cover things. And this is really like a seesaw, right? In that most plans either have higher premiums that you pay monthly or high deductibles that mean you're paying a potentially higher bill if you end up using a lot of your insurance. So how do individuals and families go about deciding which part of the seesaw they should be on? It's really about anticipating how much health
Starting point is 00:06:43 care you typically need or use each year. If you see the doctor a lot, if you have a chronic condition or you have small children, you're pregnant, you might want to plan with higher premiums but lower co-pays or maybe a cheaper plan like an HMO. If you're healthy, you're not doing a lot other than your annual physical and flu vaccine. Maybe you've got a sore throat here and there, you might go for the higher deductible plan with low premiums and just pay out of pocket for the care you need. The high deductible plan can feel like a scary choice, but if you've got the money to cover your upfront costs, it can be cheaper overall. This always feels like such a hard thing to figure out because you're almost being asked to predict what's going to happen to your health in a given year. If you feel like you're healthy, you might take the higher deductible
Starting point is 00:07:28 thing thinking you'll never have to pay it. But then you have some sort of a health crisis or an accident and suddenly you're on the hook for all of it before the insurance kicks in. Is that a fair assessment? Oh, yeah, that can definitely happen. That said, you really have to run the numbers to see which plan is better for you. You might find that even if you anticipate a lot of health needs, a high deductible plan isn't the worst case scenario because the lower premiums balance out the higher care costs. I think people forget about the amount they're paying in premiums for a traditional plan because it comes right out of your paycheck.
Starting point is 00:08:00 You never see it, but it's a cost and you have to factor it in. The other thing about a high deductible plan is that some companies kick in a contribution to your health savings account, which you can use to pay for care pre-tax. So that lowers the cost also. You just have to make sure you have the money to handle that higher deductible upfront. And if you don't have the cash on hand, if a health emergency strikes, a high deductible plan is not a great idea for you. Yes.
Starting point is 00:08:23 And also if you would put off care because you have to pay for it, that's another reason not to use a high deductible plan. Absolutely. I know this is a thing. It's just something that psychologically, if you could be prone to that, then maybe get the lower deductible plan and make sure you're getting the healthcare that you need. It can feel scary. I've had a high deductible plan for a number of years now. And those first few checks at the beginning of the year before you hit your deductible, it feels like a lot of money. And you really have to keep the whole year in mind because over 12 months, it's the cheaper thing. But those checks up front, it really is a scary feeling. Yeah. We'll get to some of the details about
Starting point is 00:08:59 health savings accounts in the second half of the show because you mentioned those, but let's talk about the kind of second tier sort of decisions, which is looking at co-pays, co-insurance, and out-of-pocket maximums. All of these have potential to show up in a variety of plans that are offered to most people. So give us a rundown of what they mean, especially co-pay versus co-insurance. All the terms. So co-pay is usually a fixed amount you pay every time you see a doctor or specialist. So your plan might have you pay $25 every time you see your primary care doctor and $50 every time you see a specialist. Co-insurance is what it's called when you pay a percentage of the costs of a covered service, usually after you've met your deductible. This tends to kick in for things like x-rays. So if you met your deductible, this tends to kick in for
Starting point is 00:09:45 things like x-rays. So if you hit your deductible, you would owe 20% of the cost of the x-ray and your insurance covers the rest. And how do you go about evaluating where these fit into your decision-making? I mean, high deductible with low co-pays, low deductible with high out-of-pocket. We're doing a lot of math here, aren't we? Yeah. Unfortunately, you really do have to do the math. You have to look at all the things. How much are the premiums for the full year? If it's a high deductible plan, does your company give you an HSA contribution? Is there a plan deductible and what is it? What's the out-of-pocket maximum, which is the most you could spend in covered care in a year? That's important. If you have a big health event,
Starting point is 00:10:24 you could hit that. And you probably should estimate based on what's happened in the past, how many times you typically see the doctor or a specialist and what kinds of things might pop up. Do you have a kid who plays sports? Maybe figure for at least one x-ray. Even a ballpark figure here is helpful. Then you can do some rough math for what that kind of care would cost you under each plan. If you're totally stumped, you can log into your account for your current health coverage and take a look at the claims you've had this past year. My health plan has an app. I can look at my claims there or log onto their website. I'm not going to sugarcoat it. You do have to get into the weeds on this. You can't do this while you watch Netflix. Oh, and I was really looking forward to rewatching Arcane. Anyway, speaking
Starting point is 00:11:05 of Arcane, let's move on to the alphabet soup of healthcare options. PPOs, HMOs, HDHPs, C3POs. Let's take them one at a time. What is an HMO and what are some of the advantages and disadvantages of choosing this? HMO stands for Health Maintenance Organization, and this is a type of health plan that works with a specific network of doctors and hospitals. Usually this is the cheapest kind of plan to choose, but it's also got the least flexibility. You'll have to get referrals from your primary doctor every time you want to see a specialist, and you'll only be covered for doctors in the plan's network unless it's an emergency. HMOs can be good choices for people who don't see
Starting point is 00:11:44 the doctor all that often or whose doctors are all in the network anyway. And if you're on a tighter budget without a cash cushion, this is typically the most affordable option. Well, that's good to know. Okay, same question for PPOs. What are they and who might they be right for? PPO stands for Preferred Provider Organization. These plans tend to cost a little more than HMOs, but you have more choices. You can typically see specialists without a referral, and if you want to see a doctor that's out of network, you can do that. It'll just cost you more. If you travel, if you have complex care needs, if you don't want to have to ask your primary care provider every time you want to
Starting point is 00:12:19 see a podiatrist or an orthopedist, this can be a good option. Okay, and finally, the HDHP. This might not be quite as familiar to listeners. So what does it stand for? What is it? And what are those advantages and disadvantages? HDHP stands for high deductible health plan. These plans usually cost less, meaning the monthly premiums are lower, but the deductible is higher than a traditional plan. So you'd have to spend more money of your own before your insurance starts covering things. High deductible plans usually also come with health savings accounts or HSAs, which are a huge tax win. I think you're getting into those later. High deductible health plans can be a good option for people who don't use much healthcare or weirdly for people who use a lot of healthcare because you can predict your costs and they can
Starting point is 00:13:03 be lower over the course of a year with this kind of plan. There's also the fact that employers sometimes give you a contribution towards your HSA if you have this kind of plan and that lowers costs as well. That said, like I mentioned, I've had these kinds of plans for the last several years and they are cheaper for me in my circumstances, but it can feel scary to write those big checks for medical care at the start of the year. And that huge deductible, like you mentioned, can mean that some people skip getting the medical care they need. Okay, let's run down some of the key factors to consider when you're making these plan decisions. What are the main questions that individuals and families need to ask themselves when they're sorting through all their options? Generally, people need to think about these questions,
Starting point is 00:13:41 and it's a lot of questions. How much healthcare do you use? How often do you see the doctor? Do you have any major surgeries or procedures coming up? Are you planning to try for a baby? Do you have small children? All of these things can affect what kind of plan makes sense for you. How financially stable are you? Are you living mostly paycheck to paycheck, or do you have a financial cushion you could use to pay the upfront costs of a high deductible health plan? How much choice do you want? If you don't care who you see, you might be fine in an HMO with a limited network. But if you want more freedom to see specialists or doctors who might be out of network, a PPO offers more flexibility, although your costs will be a little higher. And you also
Starting point is 00:14:19 have to think about your specific doctors and medications. You want to make sure you choose a plan where hopefully your doctors are a network and your medications are covered at prices you can afford. If that's not the case, keep shopping. And the keyword there is shopping. Definitely compare plans every year. Don't just auto-renew because things change. Networks change, covered drugs change, and so do your health and financial circumstances. So it's worth your time to get in there and look around. And one last question, Kate. One of our producers was talking about what you might call the overabundance of options when you go through the Affordable Care Act exchanges. Those are also known as Obamacare exchanges. And you're trying to choose an individual health plan. She calls it overwhelming abundance and not in a good way. So there could be a dozen or more options to choose from.
Starting point is 00:15:07 Do you have any advice on how to start that process? Oh, your producer isn't kidding. I plugged my zip code into my state's ACA marketplace page and got 48 pages of results. 48 results, 48 pages. So overwhelming. You can whittle your options down in a few ways. It's incredibly tedious to check each plan to see if your doctor is in network. Some state marketplaces allow you to put in your medications and your doctors and filter that way. That would be helpful.
Starting point is 00:15:36 My state's website did not. But you can also use budget to take another chunk of plans out. What can you afford each month? And then eliminate all plans that cost more than that. You may be able to filter by metal level, which is the plans ranking based on costs and out-of-pocket expenses, platinum, gold, silver, so forth. It's probably safe to say that the lower price plans like bronze level offer more basic coverage. And after that, you're making choices based on what we've talked about already. How much healthcare do you need? What's your financial situation? You're back to that math. It all comes back to math here.
Starting point is 00:16:09 And this is why we have to take math in high school. Okay. Kate, thanks so much for helping us out today. Absolutely. Thanks for having me. More in a moment. Stay with us. Liz, after that conversation, I'm thinking about the investing adage that past performance is no
Starting point is 00:16:28 guarantee of future results. And in the case of choosing your health insurance, your previous year's healthcare coverage may or may not be what you'll need next year. But this uncertainty is why doing the work of finding the right healthcare plan for what you think you'll need is so important. With so much out of your control, it's worth it for folks to take the time to crunch the numbers, shop around, and land on the health care plan that is hopefully best for their needs. It may help my fellow maximizers to know that there probably isn't one perfect solution. You do the best you can, and if you find out there's a better choice, you can make it next year. But one thing I'm thinking about now is how should folks figure out whether they need
Starting point is 00:17:09 an FSA or HSA or maybe neither? Well, that's what we're covering next, Sean. Pay close attention to our fellow nerd, Tina Orem, who's here with some specifics on those savings vehicles. Tina used to cover taxes for NerdWallet. She's now an editor, but she agreed to recap what she knows about tax-advantaged savings accounts for us. Tina, it's so great to have you back on the show. Thanks, Liz. I'm so glad to be back. So we just spent some time with Kate talking about
Starting point is 00:17:39 the basics of choosing a health plan, but we wanted to bring you on to talk about a couple of options that are also offered by many employers, and they're essentially savings vehicles. So explain for us the overall purpose of FSAs, which are flexible spending accounts, and HSAs, which are health savings accounts. The overall purpose of flexible spending accounts and health savings accounts is that you save a buck on purchases that you already know you're going to make. So I mean, if you know you're going to have to spend the money, you might as well get a tax break freebie while you're at it. Oh, so true. So how do you get these goodies? For flexible spending accounts, you typically sign up during the open enrollment period at work, which usually happens toward the end of the year. You can usually sign up when you get hired too,
Starting point is 00:18:23 if that's not during open enrollment. And then sometimes you can sign up if there's a substantial change in your situation, like if you get married or divorced or you have a child. For health savings accounts, it's a little different. Technically, you can open an HSA account any time of year, but the catch is that in order to be eligible to contribute to an HSA account, you have to be enrolled in a high deductible health plan at work. And that is something you can typically only do during open enrollment. Well, let's take a more detailed look at FSAs first. Those are the flexible spending accounts. What are some of the specific elements of these kinds of savings vehicles? There are three things I want to tell you about FSAs. The first thing is that there are
Starting point is 00:19:06 two kinds of FSAs, and your employer might not offer both, but there's still two kinds, medical FSAs and dependent care FSAs. So with medical FSAs, you can only use the money in the account for medical expenses that your insurance isn't already going to pay for. So you think about like the co-pay at the dentist or the portion of your medical bills after insurance that you have to pay or stuff that's just not covered, like maybe braces or something. And it's also for your spouse and your dependents. But also with medical FSAs, you can think about like half the stuff that's in CVS. So it covers like bandages, saline solution for your contacts, pregnancy tests, antacid, like acne medication. It goes on and on. There's like allergy medicine, cough drops, antihistamines, tampons, teething medications, and even things
Starting point is 00:19:57 like toenail fungus treatments, on and on. Okay. This is all stuff people have to pay for anyway. So you might as well save a buck by running the money through an FSA account first. So you don't also have to pay taxes on it. And if you're listening to this and you're like, where is she getting this list of items? You can Google IRS publication 502. There's the list. The second kind as a dependent care FSA is for daycare. That's something a lot of us have to pay for anyway. These accounts work for kids up to age 13 and for parents who for tax purposes are your dependents, and maybe they need adult care if they can't care for themselves. So with these accounts,
Starting point is 00:20:35 there are some complexities regarding who has to live where, particularly in the case of adult care and divorce. So be sure to read your plan documents carefully. But again, you might as well save a buck by not also having to pay taxes on this money that you're going to spend anyway. I said there were three things. So there's two more things, Liz. The second cool thing about FSAs and the reason I said they help you save a buck is that if you put money from your paycheck directly in to the FSA account, the government doesn't tax you on the money. So if you sign up to have $100 a month put into your FSA, you don't pay income tax on the $100. Always good. The third thing about FSAs is that there's this use it or lose it rule. So that means you have to spend all the
Starting point is 00:21:15 money in the account by the end of the year, or it basically disappears. When you sign up for the FSA during open enrollment, you have to kind of take a few minutes and make your best guess about how much money you're reasonably going to spend on medical care and daycare next year. Let's get into the nitty gritty of how they actually work. I think most people get something that looks and operates like a prepaid card, don't they? How does the money get on those cards? Basically, an FSA is an account. And yeah, a lot of people are sent a debit card and your money goes in the account every time you get paid. And sometimes it's through reimbursement though, right? Right. If you don't have a plan that comes with a debit card, you basically pay for the stuff with
Starting point is 00:21:57 your regular money. And then you save your receipts and you submit them to the plan administrator. And then they reimburse you out of your FSA account. And that's a less fun way to do it than the card, but you still win. Okay. And this is the part of our healthcare system that sends people scurrying to drugstores across America in late December because of that use it or lose it by the end of the calendar year. Can you give us some tips for avoiding that?
Starting point is 00:22:22 Yes, that's exactly right. The use it or lose it rule means you generally have to spend the money before the year ends. So there's two main tips here. One, take some time during open enrollment and think carefully about how much you want to put in the account from each paycheck and what that would work out to in a year. The second thing I would say is, you know, once you're rolling, put some sort of recurring note on your calendar or some kind of reminder to check your account balance once a month or so to see how you're tracking. And the third one is if you have a partner on your insurance, like remind them to use the FSA card for purchases. This happened a lot in my household where one of us would get to the checkout and then completely
Starting point is 00:22:58 forget to use the FSA card to pay because it's just a habit to pay with the other card or whatever. And then you get home and you realize what you did and then you have to go the reimbursement route. And a lot of people, you know, they're probably not going to bother with that if it's a small purchase. Yeah, you're probably right. Let's move on to HSAs, which are health savings accounts. What can we use these for and how do they work? So HSAs are also for paying medical expenses, but they are even cooler than FSAs in my opinion. Because for one thing, you could put more of your paycheck into one if you want to. So like FSAs, you don't pay tax on that money that you're going to spend on medical stuff anyway. And you usually
Starting point is 00:23:36 get a card to pay with. But even cooler is that you can invest the money in an HSA account if you want. And all the capital gains in there are tax-free. So they can theoretically just sit there and compound and compound and you don't pay capital gains tax. Plus the withdrawals are tax-free if you use the money for medical expenses. So we call this a triple tax advantage, right? No tax going in, no tax wallets in, no tax coming out. And in the tax world, that is like finding a unicorn. Yes, it is. Okay, so what's the catch? So the one catch with an HSA is that you have to be
Starting point is 00:24:11 in a high deductible health insurance plan to be eligible to contribute to one. And I will say there's one little area where the FSA is actually cooler than the HSA. And that is for medical care FSAs, not dependent care FSAs. You can use the full balance in an FSA account right away. So if you, let's say you elect to have like $3,000 put in the account over the course of the year, with an FSA, the 3,000 is available to you like in
Starting point is 00:24:38 January, like immediately, even though you haven't made $3,000 worth of deposits in the account yet. But with an HSA, on the other hand, you can only spend what's in the account that day. And we should say that high deductible health insurance plans are not a good fit for everybody. So no matter how cool the HSA is, it might not be the best choice for you. Right. Okay. So some companies won't just provide the opportunity to have an HSA, they'll actually contribute to it, right? That's right. It's at the employer's discretion, so it's not required. But if your employer is handing out free money, I would take it. Okay. Is there anything you can't use this account for? Yeah. In general, you can't use your HSA money for non-medical stuff. And I know that phrase non-medical stuff
Starting point is 00:25:19 is very vague. So what I'll say is that the IRS provides a pretty long list in publication 502, and which you can Google that pretty easily. Okay, I wanted to circle back to talking about this as a tax and investment vehicle on top of being a healthcare option. How does the tax stuff work here? Basically, the strategy is this. Stuff as much as you can into the HSA and then don't take out any money for years and years. So the money, however you invest it, grows and grows tax-free. Shove as much as you can into the HSA and then don't take out any money for years and years.
Starting point is 00:25:47 So the money, however you invest it, grows and grows tax-free. So of course, that only works if you can afford to pay your medical expenses out of pocket rather than using the HSA money in the account. And if you can be disciplined about saving the receipts for those expenses. Because the other part of the strategy is that one day when you're ready to retire, you have this big pile of tax-free HSA money to use to pay for your medical care. And you don't have to incur the medical expenses in the same year that you use the money. So long as you have those receipts, the paperwork to prove your unreimbursed expenses in the past. Okay. So you have to keep good records, but you generally don't have to worry about having a
Starting point is 00:26:24 balance in an HSA at the end of the year. That's right. Once it's in the account, it's yours. If the end of the year comes and goes, it's still yours. You quit your job. It's yours. They fire you. It's yours. You retire. It's yours. Okay, good. Tina, thanks again for joining us. We really appreciate it. Anytime. So Sean, are you an HSA or an FSA kind of person? For the past couple of years, I've been riding the HSA train and I've been liking it so far. I'm taking the approach of using my healthcare sparingly, although I'm not avoiding the healthcare that I do need. And I'm essentially setting my HSA up as a pot of money to invest
Starting point is 00:27:02 that will hopefully cover some of my healthcare expenses in retirement. So what about you, Liz? Are you team FSA or team HSA? I've been both, but our family occupies that middle ground where we use a fair amount of healthcare, but really not enough to where the math makes sense for a high deductible plan. I miss being able to stuff money into that triple tax advantage account, but a lower deductible plan with an FSA really is a better fit for us. So Liz, you mentioned up top how a lot of people just default into the plan they're already in. What's wrong with that easy method to this madness?
Starting point is 00:27:36 Well, first of all, networks and plans change. If you don't review them, you may end up with something different, even though you assumed it would be the same. Covered drugs often change as well. And Sean, most of us don't have exactly the same lives we did a year ago. Our health, our financial circumstances could be completely different or even just mildly different, but enough so that our current plans won't do what we need them to do. So take the time, review your options. And what if you have two sets of options, as in you have options through your workplace and a spouse or partner has options through with
Starting point is 00:28:10 their workplace? How do you start on those comparisons? Then you get to do twice as much math, at least. Yay! Unfortunately, there's no one-size-fits-all advice here either. Maybe one plan is clearly better, so you sign up for that. Or maybe you put the kids on your plan and your partner sticks with their own. Or maybe you don't have a lot of choice. If somebody is on Medicare, for example, they can't add a spouse or dependent. So the family needs to find other coverage. All right.
Starting point is 00:28:38 Well, Liz, tell us what's coming up in episode two of this series. Next time, we're going to look at all the different kinds of other insurance you might have on offer during open enrollment, from disability and life insurance to critical illness coverage. Most employers in the U.S. offer a limited amount of life insurance for employees as part of workplace benefits. This coverage is usually what's known as basic group life insurance, and it's actually pretty easy to get. To opt in, all you typically have to do is fill out a form and maybe meet any eligibility requirements that your company has, such as working a minimum amount of hours per week. And that's all we have for this episode. Do you have a money question of your own? Turn to the nerds and call or text us your questions at 901-730-6373. That's 901-730-NERD. You can also email us at podcast at nerdwallet.com.
Starting point is 00:29:29 Visit nerdwallet.com slash podcast for more information on this episode. And remember to follow, rate, and review us wherever you're getting this podcast. This episode was produced by Tess Vigeland and Liz. I helped with editing. Ariel O'Shea and Lacey Glover helped with fact checking. Kevin Tidmarsh mixed our audio. And a big thank you to NerdWallet editors for all their And here's our brief disclaimer. We are not financial or investment advisors. This nerdy info is provided for general educational and entertainment purposes and may not apply to your specific circumstances. And with that said, until next time, turn to the nerds.

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