Employees

Top Things to Consider When Picking a Plan

When it’s time to shop for your health plan, consider the following things — and use the filtering tools in your ICHRA platform to narrow options down. Remember to look beyond the carrier you had before to ensure you’re getting the best value.

1

Monthly Premium

  • Start with what you’ll pay each month for the plan.
  • Compare that to your employer’s ICHRA contribution — will it fully cover the premium, or will you owe the difference? And is it worth it to you?

2

Deductible and Out-of-Pocket-Maximum

  • A lower monthly premium often means a higher deductible.
  • Know how much you’d need to pay out-of-pocket before the plan starts covering services — and what your maximum annual spend could be.

3

Your Health & Medical Needs

  • How often do you see doctors, need prescriptions, or expect procedures?
  • Are you managing chronic conditions or planning for maternity care?
  • Consider plans that meet your needs well.

4

Network of Doctors and Hospitals

Are your preferred physicians, specialists, and hospitals in-network?

5

Prescription Drug Coverage

Are your prescriptions covered? And are they affordable?

6

Value-Added Benefits

Does the plan offer benefits like:

  • Telehealth / 24/7 virtual care
  • Wellness or fitness rewards
  • Dental, vision, or mental health support
  • Programs for chronic conditions or maternity care

5

Reviews

See what others have said about their plans and experiences — reviews can help you decide.

Good to Know

If your employer offers an ICHRA, you may not be eligible for premium tax credits (financial assistance) through the Marketplace. This is because your employer’s contribution factors into the affordability of your health plan.

Explore Other ICHRA Topics for Employees

Talk With Our Team

Considering an ICHRA raises new questions. Our team is here to help.

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