Webinar: Assisting Consumers in Plan Comparison and Selection
In this Health Reform: Beyond the Basics webinar presented on November 10, 2015, Dave Chandra, Senior Health Policy Analyst, presents strategies for helping consumers compare and select qualified health plans in the Marketplace. It highlights key things that consumers should consider—including balancing monthly premium costs and deductible amounts, understanding cost-sharing differences, identifying if current providers are in-network or if specific medications are covered, and comparing consumers’ total out-of-pocket expenses for the year—and features a live web-browsing demonstration via Healthcare.gov to explore the plan comparison process using current plan information.
Presentation Slides
View slide deck PDF.
Watch the Webinar
Overview of Marketplace Health Plan Elements
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Overview of Marketplace health plan elements (video section, slides)
Plan display on Healthcare.gov (video section, slides)
- Summary of Benefits and Coverage (SBC)
Plan design:
- Overview of cost sharing (video section, slides)
- Separate medical and prescription drug vs. combined deductible (video section, slides)
- Copayments vs. coinsurance (video section, slides)
- Prescription drug tiers (video section, slides)
- Services/copays exempt from the deductible (video section, slides)
- HSA vs. non-HSA plans (video section, slides)
- “3-step” copay plans (video section, slides)
- Deductible only plans (video section, slides)
- Cost sharing reductions (CSR) plans (video section, slides)
Benefits and other covered services
- Essential health benefits (video section, slides)
- Pediatric dental coverage (video section, slides)
- Other covered services (video section, slides)
Prescription drug formulary (video section, slides)
Provider networks (video section, slides)
- Network types
- Variations in provider networks
- Tiered network plans
- Confusion and inaccuracies
Annual changes to monthly premiums (video section, slides)
New Tools on Healthcare.gov
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Out-of-pocket cost calculator (video section, slides)
Provider search tool (video section, slides)
Assisting Consumers in Plan Selection: Web-Browsing Demonstration
Please note that this section of the webinar features a live web-browsing demonstration that is not reflected in the static slides.
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Scenario 1: Single adult (video section, slides)
Scenario 2: Married couple (video section, slides)
Scenario 3: Family (video section, slides)
Q&A
Additional Resources
- Marketplace Plan Comparison Worksheet | View worksheet
- Plan Design | View webinar
- Enroll America: Get Covered America Plan Comparison Tool | View tool
- Key Facts: Cost Sharing Charges | View key facts
- Key Facts: Cost Sharing Reductions | View key facts
- Beyond the Basics Webinar Series | View all webinars
- Key Facts About Health Reform | View all key facts