The True-Cost Plan Comparison Worksheet

1. Why the premium isn't the real cost

A plan that costs $150 less a month but has a $5,000 higher deductible doesn't save you money in a year when you need care. Compare plans by what they'd cost in three kinds of year: a quiet year, a normal year and a bad year.

2. Side-by-side worksheet

For a private plan without a single out-of-pocket maximum, write down the largest amount you could owe under its benefit limits. If you can't find one, ask us.

3. Network and prescription check

Network type: HMO and EPO plans usually cover only in-network care except emergencies. PPO plans usually pay something out of network.

4. Read the exclusions (private plans)

☐ Does it ask health questions, and how are pre-existing conditions treated? ☐ Are maternity and mental health care covered? ☐ Is there a yearly or lifetime cap on what the plan pays? ☐ Is it renewable regardless of health changes? Get this confirmed in writing. ☐ Can I apply today, and when does coverage start?

Marketplace plans can't deny coverage or charge more for a pre-existing condition. That protection is the main thing to weigh against a lower private-plan price.

Take the free Find My Plan quiz, or talk with a licensed agent by phone or text. Jeff Weisblatt, 817-980-8804 (licensed in 28 states) · Amy Herdine, 817-470-2229 (licensed in Texas)

Sources: HealthCare.gov, Pre-existing conditions; HealthCare.gov, Out-of-pocket maximum/limit and Deductible glossary. General information, not legal, tax or medical advice.