Health Insurance FAQs
What’s the difference between HMO and PPO?
HMOs usually require referrals and stick to in-network care; PPOs allow more flexibility at higher costs.
When can I enroll?
Enroll during open enrollment or if you qualify for a special enrollment period after a qualifying event.
How can I lower my premium?
Consider HDHP + HSA, higher deductibles you can afford, and check subsidies/tax credits.
What is out-of-pocket maximum?
The most you pay in a year for covered services; after that, the plan pays 100% of allowed amounts.
What are cost-sharing reductions?
Extra savings for eligible incomes on Silver plans purchased through the marketplace.