Here’s a clear breakdown of what clients need to do to prepare for open enrollment:
1. Review Current Coverage
- Look at your current plan: premiums, deductibles, copays, and network.
- Make note of what worked well and what didn’t (doctor access, prescription coverage, costs).
2. Check for Plan Changes
- See if your insurance carrier is changing benefits, premiums, or provider networks.
- Verify that your doctors, hospitals, and prescriptions will still be covered in the new year.
3. Gather Key Information
- Collect your household income, tax information, and list of medications.
- Have Social Security numbers and birthdates for everyone applying.
- Prepare proof of immigration or citizenship status if applicable.
4. Evaluate Needs for the Upcoming Year
- Consider upcoming health needs (planned surgeries, new prescriptions, family changes).
- Think about whether a different plan type (HMO, PPO, high deductible with HSA) would be better.
5. Explore Savings Options
- Check eligibility for subsidies or tax credits through the Marketplace.
- Ask about additional benefits like dental, vision, accident, or critical illness coverage.
6. Take Action Early
- Don’t wait until the last week—plans can fill up or deadlines can sneak up.
- Schedule an appointment with your agent to compare options and secure coverage.