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You did it! You enrolled in a health insurance plan for the new year. Congrats!

But do you know what your plan actually covers and how to use it effectively?

In this post, we’ll share some tips on how to find out what your health insurance covers and how to take advantage of the benefits that come with it.

Tip 1: Review Your Network

One of the first things you should do after enrolling in a plan is to review your network. Your network is the group of doctors, hospitals, and other healthcare providers that your plan has contracted with to provide services at lower rates. By choosing an in-network provider, you can save money and avoid surprise bills.

To find out who is in your network, you can go online and use your plan’s provider directory or search tool. You can also call your plan’s customer service number or your health insurance broker for assistance. Make sure you have your plan ID card handy when you do this.

Tip 2: Explore Your Benefits

Your plan may cover more than just the basics. It could also cover a range of preventive, diagnostic, and therapeutic services that can help you stay healthy and treat any conditions you may have.

To find out what your plan covers, you can check your summary of benefits and coverage (SBC) or your evidence of coverage (EOC) documents. These are the official documents that explain your plan’s features, costs, and limitations.

Tip 3: Take Advantage of Additional Benefits

Your plan may also offer you some additional benefits that can help you improve your health and wellness. These benefits could be related to:

  • Healthy living: Some plans will reimburse you for joining a gym, taking a fitness class, or buying a fitness tracker.
  • Quitting smoking: If you want to quit smoking, your plan may cover the cost of nicotine patches, gum, or other cessation aids.
  • Weight loss or management: If you need to lose weight, your plan may pay for a portion of a weight loss program, such as Weight Watchers or Jenny Craig.

For example, Independence Blue Cross offers a Healthy Lifestyles℠ Reimbursement to their members for participating in qualifying gyms and fitness classes. In this way, members are encouraged to stay active and maintain their health with preventative measures. It may not be top of mind when you think of traditional healthcare coverage, but you can take advantage of this kind of reimbursement if your plan offers it!

Tip 4: Consider Your Options

Even if you’re happy with your current health insurance plan, it’s always a good idea to keep your options in mind in case your situation should change. If your current health insurance plan isn’t meeting your needs or no longer covers an important member of your household, you can browse new plans anytime.

The best time to shop for a new plan is during the open enrollment period, which runs from November to December each year. During this time, you can switch plans or enroll in a new one without any restrictions or penalties.

If you need help finding a new plan, you can use a health insurance broker. A health insurance broker is a licensed professional who can help you find the best plan for your needs and budget. They can also answer your questions, explain your options, and guide you through the enrollment process.

If you’re interested in reevaluating your current health plan, our team is happy to assist! Get in touch with Health & Benefits Partners today.