Think you understand all of your options during open enrollment? Check out these common assumptions and see which ones are true, false and somewhere in between.
FALSE. If your job offers more than one health plan option, those plans often vary in the amount and type of coverage options they offer. So, while they may very well all include MultiCare providers and services, they may not. Don’t make assumptions! The only way to know for usre is to check each plan offered to see if your preferred doctors and hospitals are in-network.
MAYBE. Most larger employers offer more than one option for coverage. But sometimes, especially with smaller companies, there is only one choice. If that’s the case where you work, it’s take it or leave it.
FALSE. And there are reasons to turn it down.
Usually you’ll find the plans offered through your job are the most affordable options because employers subsidize some of the monthly premium costs. But you can always to buy your own through the Washington State Healthcare Exchange (as long as you enroll during the Exchange’s own open enrollment period). You may also have the option to opt in to coverage through your spouse’s job.
In fact, if the premiums aren’t too high, you can often get coverage through both your employer and your spouse’s employer (Not all employers allow this. Make sure you read your job’s and your spouse’s job’s rules for this kind of double coverage). Your spouse’s insurance would be deemed as “secondary” coverage to pick up whatever your plan doesn’t pay. Whether this makes sense for you depends on how much it costs you and how much you anticipate using your insurance.
This is mostly TRUE. But not always. You can add health coverage outside of normal open enrollment windows if you experience a “qualifying life event.” If that happens, you have a window of time — usually 60 days — to get new coverage. QLEs come in four basic flavors:
MAYBE? Here’s the deal. Plans change — and not just your plans, but your insurance plans. What was covered this year may be excluded next year. In-network providers might have changed along with deductibles and premiums Look at the plan description for the coming year and make sure any changes are acceptable to you.