Category: Health Insurance
Navigating Health Plan Options: A Quick Guide
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Choosing a health insurance plan can feel a lot like solving a puzzle—there are many moving pieces, and the best fit depends on how they come together for your unique situation. With so many options and acronyms—HMO, PPO, POS, EPO, HDHP—it’s easy to feel unsure about where to start. This guide breaks down the most…
Staying Covered and Healthy: Understanding Premiums, Subsidies, and Preventive Care
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The Affordable Care Act (ACA) created a federally financed subsidy, known as the premium tax credit (PTC), to help eligible individuals and families with low to moderate incomes afford health insurance purchased through an Exchange. During the COVID-19 pandemic, Congress temporarily enhanced the PTC by eliminating the income cap for eligibility and increasing the subsidy…
Educating Employees on Increasing Healthcare Costs
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Health care costs in the United States continue to rise, increasing pressure on both employers and employees. Organizations that provide health benefits must balance growing expenses with transparency and trust from their workforce. Clear, compassionate communication is key to helping employees understand and navigate these rising costs. Consider these strategies: Craft messaging that is clear,…
Taking Charge: A Guide to Health Literacy
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Building your health care literacy is one of the most powerful ways to take control of your well-being. Health literacy refers to your ability to locate, understand, and apply health information when making decisions about your care. Whether it’s interpreting medical terms or navigating complicated insurance options, strong health literacy can ease stress, prevent confusion,…
Compliance Guide: New 2026 Rules for HSA Expansion
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The One Big Beautiful Bill Act (OBBBA) was signed into law on July 4, 2025, introducing significant updates to Health Savings Accounts (HSAs). Following this, the IRS released Notice 2026-5 to provide specific guidance on how these changes expand HSA eligibility and usage. The OBBBA broadens HSA availability through the following key provisions: 1. Permanent…
Preparing for Open Enrollment: Common Questions and Answers
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As open enrollment season approaches, it’s never too early to start preparing so that you can make educated choices on benefits enrollment for the upcoming year. This annual window offers the opportunity to enroll in, change or update coverage options such as health insurance, dental plans, and voluntary benefits like life and disability insurance. The…
2026 Medical Cost Outlook
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PwC’s latest annual analysis forecasts that group health insurance costs will increase by 8.5% in 2026—the third straight year at this elevated trend. This sustained rise means health care expenses are now similar to those seen 15 years ago, after a brief dip post-pandemic. Researchers gathered data from actuaries at 24 major U.S. health plans,…
Benefits 101: A Guide to PPO Plans
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When navigating the world of health insurance, you will likely encounter the term PPO (Preferred Provider Organization). A PPO plan – whether medical or dental – is about balancing the cost and convenience of care. With a PPO plan, you get the flexibility to see a wide range of doctors. You’ll save money by staying…
Navigating Your Health Plan: A Guide to Your Explanation of Benefits (EOB)
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Ever found a confusing document in your mailbox after a doctor’s visit, wondering if it’s a bill, especially with an “amount you owe” at the bottom? You’re not alone! That document is most likely an Explanation of Benefits (EOB) from your health insurance company. It’s crucial to remember: an EOB is NOT a bill. Think…
Health Insurance Terms You Should Know
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Health care terms, medical bills, and forms can be hard to understand. Here are some common health care terms, and what they mean. Allowed Amount This is the maximum payment the plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.” For example, if you…