: A fixed dollar amount (e.g., $25) you pay for a specific service, like a doctor's visit or a prescription.
: Moderate premiums and moderate costs. These often qualify for extra savings (subsidies) if you have a lower income.
: Higher premiums, but lower costs when you get care. Best if you have ongoing medical needs. 3. Networks: HMO vs. PPO buying health insurance for dummies
: Your share of the costs for a service, usually calculated as a percentage (e.g., you pay 20%, they pay 80%).
Before comparing plans, you need to understand the five main ways you pay for care: : A fixed dollar amount (e
: The absolute most you will pay in a year. Once you hit this, the insurance company pays 100% of covered costs. 2. Choosing Your "Metal" Level
: An annual period (usually late fall) where anyone can sign up for the next year. : Higher premiums, but lower costs when you get care
: A 60-day window triggered by a "Qualifying Life Event," such as losing a job, getting married, or having a baby. Where to Look Employer : Most people get insurance through work.