{"id":42678,"date":"2021-10-29T09:02:08","date_gmt":"2021-10-29T15:02:08","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=42678"},"modified":"2021-11-09T12:30:54","modified_gmt":"2021-11-09T19:30:54","slug":"tips-colorado-open-enrollment-health-insurance","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/tips-colorado-open-enrollment-health-insurance\/","title":{"rendered":"Colorado open enrollment is coming. Here are a few tips."},"content":{"rendered":"
<\/div>
\"young
HMOs, PPOs, EPOs, and POSes are only some of the specialized terms the insurance shopper must get to know as they dive into Colorado’s open enrollment season. Source: Getty Images.<\/figcaption><\/figure>\n

\u2018Tis the season, though not necessarily to be jolly \u2013 unless you\u2019re really into parsing the pros and cons of health plans during Colorado’s open enrollment.<\/p>\n

Yes, the health care insurance open-enrollment season is upon us in Colorado. For those with employer-based health insurance plans, it\u2019s an opportunity to reassess the costs and benefits of your current workplace\u2019s offerings. Those on the state\u2019s Connect for Health Colorado health insurance exchange have even more choices to comb through<\/a> during the Colorado open-enrollment period from Nov. 1 through Jan. 15. Even if you like your existing coverage, don\u2019t forget to re-enroll.

Learn everything you need to know about finding a health insurance plan on the Colorado health insurance exchange<\/a>.<\/div>\n

Before sharing some tips on choosing the right plan, a quick note: If you\u2019re seeking coverage through the state exchange, and you want a plan that includes UCHealth, CU Medicine, and other in-network affiliates, you\u2019ll have two options<\/a> for the 2022 plan year: Anthem Pathway and the new Oscar Colorado Partners Choice, which are available in the metro Denver area. For more information on selecting a plan through Connect for Health Colorado, click here<\/a>.<\/p>\n

How to choose health insurance<\/strong><\/h2>\n

Now, about choosing the right plan for you and your family. Broadly speaking, it\u2019s a process that involves balancing the amount of care you figure you\u2019ll need with what you\u2019re willing or able to spend on that care. The \u201camount of care\u201d is defined by the size of the network of health care providers one can choose from; the flexibility of going straight to a specialist without a primary-care referral; the extent of drug coverage; and the frequency, scope, and duration of care covered by insurance.<\/p>\n

How to decide health care needs when choosing a plan<\/strong><\/h2>\n

First, understand your own health care needs. Do you use expensive medications? Do you need a lot of care? Are you expecting a baby? Do you need a surgery? Do you have a chronic condition? Has there been a cancer diagnosis? Do you have young kids who may well end up with some sort of crud or playground injury? Do you travel abroad (and want coverage if something happens there)?<\/p>\n

Understanding health plan providers and networks<\/strong><\/h2>\n

Second, consider whether you have preferred providers \u2013 ones who know you well and whom you trust \u2013 and whether those providers are in the networks you\u2019re considering. That includes your primary care physician and all of your specialists as well as your preferred hospitals, ancillary locations, and clinics. If those providers are out-of-network, your insurance plan may not cover them.<\/p>\n

How to pick and choose health insurance<\/strong><\/h2>\n

Third, with the above in mind, consider the class of health insurance plan you\u2019re interested in. This step will include price tags and lets you start comparing costs. Health maintenance organizations (HMOs) require you to stay in-network for everything but emergencies and typically require referrals for specialty care, but tend to be less expensive. Preferred provider organizations (PPOs) have wider provider networks, don\u2019t require referrals for specialist care, and let you go out-of-network for care (although that\u2019s more expensive than in-network care). Less common are exclusive provider organizations (EPOs), point-of-service (POS) plans, which combine aspects of HMOs and PPOs.<\/p>\n

Comparing health insurance plans<\/strong><\/h2>\n

Fourth, once you understand your own likely medical needs and a rough range of costs you\u2019re willing to shoulder, it\u2019s time to start targeting specific plans. That involves comparing what you\u2019ll certainly spend on fixed monthly premiums with what you may or may not spend on your care based on how much care you actually end up needing.<\/p>\n

\u201cConsider the aggregate total cost,\u201d said Brandon Elliott, Director of Hospital and Transplant Contracting at UCHealth. \u201cYou should compare the costs among the plans, including premiums, deductibles, copays, and co-insurance.\u201d<\/p>\n

Strike a balance between costs and coverage<\/strong><\/h2>\n

There\u2019s no universal formula here, though in general, it\u2019s safe to say that those who need consistent care, frequent specialist consults, or pricey medications are probably better off spending more on premiums to minimize deductibles, co-pays, and out-of-pocket maximums.<\/p>\n

For the rest of us, the health insurance purchase decision is trickier, and, assuming your budget can handle more than the most basic options (low premiums, high deductibles, and lofty out-of-pocket maximums) the right plan will depend on your overall health, your habits, and your risk tolerance.<\/p>\n

A young, healthy person who may not need a doctor\u2019s visit more than once a year might be considered a lock for a high-deductible, high-maximum plan. But that same person may also be an avid snowboarder. Catch an edge and that high-deductible plan no longer looks like such a great deal.<\/p>\n

There\u2019s also the question of the level of care and the associated costs of the unexpected happening. If a snowboarding mishap leads to the need for a complex wrist reconstruction, and the services of a fellowship-trained orthopedic surgeon specializing in the procedure you need for a full recovery are out-of-network, you could be on the hook for thousands of dollars out of pocket.<\/p>\n

You may not snowboard, but you probably do drive a car. Playing the odds can save you a bundle. If you\u2019ve reasonably assessed your medical needs, your budget, and your lifestyle, you can position yourself to strike a healthy balance between health insurance coverage and cost. If that\u2019s not quite reason enough to be jolly, it should at least bring peace of mind.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2018Tis the season, though not necessarily to be jolly \u2013 unless you\u2019re really into parsing the pros and cons of health plans during Colorado’s open enrollment. Yes, the health care insurance open-enrollment season is upon us in Colorado. For those with employer-based health insurance plans, it\u2019s an opportunity to reassess the costs and benefits of […]<\/p>\n","protected":false},"author":22,"featured_media":42686,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[4750,3853],"class_list":["post-42678","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-access-to-care","tag-health-insurance"],"acf":[],"yoast_head":"\nTips: Colorado's open enrollment for health insurance - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Choosing the right health insurance can be daunting, but a few tips can help you choose wisely during Colorado's open-enrollment season.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/tips-colorado-open-enrollment-health-insurance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Colorado open enrollment is coming. 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