5 mistakes to avoid when choosing a health plan
Roberto Salinas
9/26/20252 min read
1. Focusing Only on the Monthly Premium
It’s tempting to choose the lowest monthly premium, but that doesn’t always mean lower overall costs. Many low-premium plans come with high deductibles, limited networks, or higher out-of-pocket expenses.
What to do instead:
Look at the total cost of care—including deductibles, copays, coinsurance, and out-of-pocket maximums. A slightly higher premium may save you money if you expect regular doctor visits, prescriptions, or procedures.
2. Ignoring the Provider Network
Not all plans include your preferred doctors, specialists, or hospitals. Choosing a plan without checking the network can lead to surprise bills or limited access to care.
What to do instead:
Use the plan’s provider directory to confirm your doctors are in-network. If you’re new to an area or don’t have a preferred provider, look for plans with broad networks and strong local coverage.
3. Overlooking Prescription Coverage
Prescription drug costs can vary widely between plans. Some formularies may not cover your medications—or may require prior authorization or step therapy.
What to do instead:
Review the plan’s drug formulary before enrolling. If you take regular medications, make sure they’re covered and check the tier level to estimate your costs.
4. Misjudging Your Health Needs
Some people choose minimal coverage assuming they won’t need care. Others over-insure based on worst-case scenarios. Both approaches can lead to unnecessary costs or gaps in coverage.
What to do instead:
Take a realistic look at your health history, lifestyle, and risk factors. If you’re generally healthy but want protection from unexpected events, a mid-tier plan may offer the right balance.
5. Skipping Expert Help
Trying to navigate the marketplace alone can lead to missed opportunities—like subsidies, cost-sharing reductions, or better plan matches.
What to do instead:
Work with a licensed advisor. At Precise Insurance, our team helps you understand your options, compare plans, and enroll with confidence. We make sure you’re not leaving money—or coverage—on the table.
Ready to Choose with Confidence?
Open enrollment is your chance to get the coverage that fits your life and budget. Let Precise Insurance help you avoid costly mistakes and make informed decisions.
Schedule a consultation today—we’re here to guide you every step of the way.