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What is a high-deductible health insurance plan?

ANSWER

It's an HMO, PPO, EPO, or POS plan -- with the features of that type of plan -- but with higher out-of-pocket costs. What doctors you can see depends on the type of plan it is. If you reach the maximum out-of-pocket amount, the plan pays 100% of your care.

You can also set up a health savings account (HSA) to help pay for your care. The money you put into an HSA isn't taxed, and you can use it tax-free on eligible medical expenses. In order to have a HSA, you must be enrolled in a HDHP.

SOURCES:

Fair Health, Inc.: "Alphabet Soup of Health Plans" and "Understanding High-Deductible Health Plans."

The Henry J. Kaiser Family Foundation. “Health Reform FAQs: Marketplace Eligibility, Enrollment Periods, Plans and Premiums.”

Society for Human  Resource Management: “For 2015, Higher Limits for HSA Contributions and Deductibles.”  

Internal Revenue Service.

Life and Health Insurance Foundation for Education: "What are the Different Types?"

Minnesota Medicine, February 2011: "Five Payment Models: The Pros, the Cons, the Potential."

Office of Personnel Management: "Healthcare Plan Information" and "2013 High-Deductible Health Plans with Health Savings Accounts/Health Reimbursement Arrangements."

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality: "Choosing a Health Plan."

Reviewed by Sarah Goodell on July 24, 2018

SOURCES:

Fair Health, Inc.: "Alphabet Soup of Health Plans" and "Understanding High-Deductible Health Plans."

The Henry J. Kaiser Family Foundation. “Health Reform FAQs: Marketplace Eligibility, Enrollment Periods, Plans and Premiums.”

Society for Human  Resource Management: “For 2015, Higher Limits for HSA Contributions and Deductibles.”  

Internal Revenue Service.

Life and Health Insurance Foundation for Education: "What are the Different Types?"

Minnesota Medicine, February 2011: "Five Payment Models: The Pros, the Cons, the Potential."

Office of Personnel Management: "Healthcare Plan Information" and "2013 High-Deductible Health Plans with Health Savings Accounts/Health Reimbursement Arrangements."

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality: "Choosing a Health Plan."

Reviewed by Sarah Goodell on July 24, 2018

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What are some tips for appealing if my medical insurance claim is denied?

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