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.