What Should I Ask When Seeking a Plan?

couple working on computerThe Affordable Care Act gives everyone more choices when shopping for a health insurance plan. It allows you to compare and shop for health coverage that meets your needs and fits your budget, whether you purchase directly through Blue Cross and Blue Shield of New Mexico, the Marketplace or a licensed insurance agent.

Open Enrollment for 2019 health insurance begins on Nov. 1. You will need to decide if you are going to apply for a new Marketplace plan, keep your current plan or pick a new one. Just like making a major household purchase, like a car or a TV, there a few things you should do to prepare for buying health insurance. Here are some questions you need to ask yourself as you seek a plan:

How much can you spend?
One of the biggest questions shoppers ask is “how much does health insurance cost?” Every plan is different, so before shopping, set a budget. How much will you be able to spend every month? Think about the monthly premium, but also keep in mind the other factors of a health plan deductible, copayments and other out-of-pocket costs to figure out what you could end up paying within a year, should you end up with unexpected medical bills. You can also use our subsidy calculator to find out if you are eligible for financial assistance.

What provider network does the plan use?
Have you checked to see if your doctor, specialists, hospitals or urgent care centers are in the plan’s network that you selected? You can use the BCBSNM Provider Finder to check.

Is your doctor in the plan’s network?

Do you take prescription drugs?
Can you take a generic drug, or do you take name-brand drugs that may cost you more each month? Drug coverage may differ by plan. You can see the formulary, or drug lists, for each plan we offer as well.

How often do you visit the doctor?

  • Do you only get sick a few times per year?
  • Are you thinking about having a child?
  • Do you have a health condition that means frequent visits to the doctor or hospital?
  • Do you need dental coverage?
    • Some plans include dental coverage or you can buy a separate dental plan

Now that you know the questions to ask yourself, do you have any questions for us? If you're ready, start shopping now or, if you have questions call us at 888-809-1136 or log in and ask below!

Last update: 10/22/2018


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