High-deductible health plans (HDHPs) are a type of health insurance plan that helps you save on monthly premium costs. When you compare an HDHP vs PPO or other health plan, your monthly premium bill will be much more affordable. But there are several disadvantages to consider.
There are many benefits to getting an HDHP, including the ability to open a health savings account (HSA). But is an HDHP right for you? Here are a few reasons why you might want to reconsider.
You Can't Afford Higher Out-of-Pocket Expenses
Despite all the perks of having an HDHP, one significant tradeoff exists. That's the higher deductible and out-of-pocket maximum.
Your deductible is how much you'll have to pay before your health insurance coverage takes over. You must pay 100 percent of healthcare costs before coverage kicks in. Depending on your plan, you may have to cover copays or coinsurance until you reach the out-of-pocket maximum.
The out-of-pocket maximum is the total amount you'll have to pay for covered healthcare services annually. Once you meet that, your health insurance will take care of the rest. In the fight between HDHP vs PPO, the former typically has a higher deductible, but that out-of-pocket max protects you from significantly higher expenses. For 2024, the out-of-pocket maximums for an HDHP can't exceed $8,050 for individuals or $16,100 for families.
If you're unable to cover your deductible, you may want to reconsider getting an HDHP.
You'll Need Substantial Medical Care
If you think you'll need considerable healthcare services throughout the year, exploring other plan options may be a better choice. HDHPs are often the go-to for people who are young and relatively healthy. They're a fantastic way to save on monthly premiums when you don't think you'll need much medical care.
The coverage is still there if needed, but you're not paying high premiums to get it. If you don't fall into that category, getting a plan that focuses on lower deductibles with better coverage over more affordable premiums may be better.
Read a similar article about 2024 contribution limits for FSA here at this page.
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