Open enrollment time at work. I've never done a high deductible plan because we spend a lot on medical expenses. How does the option of having an HSA change this?
How much time do you have? I’m a life/health insurance agent and would be happy to chat with you directly to discuss anything specific…
However it really comes down to a math problem. Look at the options you have and your expected medical expenses. See how much each plan will cost (over a year) for each plan, then add in the medical expenses for each (first part towards deductible, then rest to coinsurance percentage potentially up to the max out of pocket). You’ll more than likely save premium dollars going with the High Deductible (HSA) option, but more out of pocket expenses - see how much one offsets the other. Then take into account the tax benefits of the HSA if you plan on taking advantage of it (huge tax benefits!!). It definitely makes sense for my family as the tax breaks more than offset the additional out of pocket we have (we don’t typically have large medical expenses each year, but in those we do we blow past the deductible all the way up to the max OOP).
As an example for the above - I have a family member on a very, very expensive Rx. She knows she’ll not only hit her deductible, she’ll hit her max OOP each year by April or May. She adds her 12 months of premium and her max OOP together for each option, and for her the high deductible (low premium) plan always has the lowest total cost as the difference in max OOP is more than offset by the premium savings and HSA tax benefits .