November is the peak month for employers’ open enrollment for health insurance. You may have several plan options with your employer and you may have other options through your spouse’s employer. Perhaps you shop on your own in the individual market and its time to renew. How are you going to pick the best plan for you and your family?
Picking the best plan just got a whole lot easier. This year new standard summaries of plan benefits and coverage are available thanks to the health reform law.
That means that even if you’re comparing plans from different insurers or even different employers, the information is set up the same way allowing you to compare your options side-by-side and apples-to-apples. Here’s what the first page looks like (so you know you’re looking at the right thing):

Researchers have suggested that too many consumers stay in the same plan year-after-year due to inertia, not because they conclusively decided it was the best option for them. Don’t let that be you. Take the time to compare your options, especially now that it’s easier to do so.

- Plan benefits that are always organized the same way, so you can more easily compare your options.
- A list of services that aren’t covered all in one place.
- A new way of explaining how the plan covers certain medical scenarios, called Coverage Examples —>
We’ve included even more tips in this handy guide to the form.
Got ideas about how to improve your form? We plan to work closely with the federal agencies in charge of this form to improve it even more over time and we are collecting feedback from real consumers like yourself. After you get your copy of the form (not the image above), go to www.SBCFeedback.org to tell us what you think. If you enrolled in health insurance coverage this Fall (but not Medicare) and DIDN’T see this form, we want to know that to.
Please note: you won’t see this form if you’re shopping for Medicare (coverage for seniors and people with disabilities), Military coverage (like TRICARE or Veterans) or state Medicaid and CHIP programs. These insurers are not required to provide it.
A new direction for healthcare...







There is an error in the “Handy Guide” so that it will not load properly. I hope that it can be corrected so that I can use this information. Thanks!
I am a senior and have Health Spring insurance….will I get this form or not ? Thank you.
My employers open enrollment period just started, and I couldn’t find any such summaries for the plans on offers, so I’ve asked for them… they really would make choosing a plan a lot easier!
Thanks for letting me know about this!
ps The Handy Guide loaded properly for me.
I may be missing something. But where may I get the subject plan comparision? As an aside, wouldn’t it be better to have the email slot listed as “email” rather than “mail”?? You know us old people…we tend to get easily confused!
OK, I got it. The 1st page of the handy guide tells it all. Here’s what it says at the top of the page:
Didn’t get this form?
You’re legally entitled to it (except if it is a Medicare plan), so ask your insurance company or benefits manager for a copy.
Dupont just tossed retirees & survivors of(deceased)retirees to choose new coverage since we are being dumped on the trash heap. I read eaverything I could to be ready for this, attending a seminar to explain what to do–clear as mud! Made the phone call to choose among 70 plans. Got all AARP plans. Had to choose one that met my needs, added prescriptions and dental. Didn’t choose most expensive, but one tier down. Figure what I don’t use for payments per month, can use toward copays! This was EXTREMELY stressful and I still hope I did the correct thing. Admiting that for 35-40 years we had no problems with Aetna, Medco for drugs, Metlife for dental. Now,I feel like I’m in a maze. I’m not too good with math and it scares me silly that I may have made a bad mistake. Healthcare for an 82 year old is scary . I am in good health; take care of my diet of 1000 calories per day for type 2 diabetes. Numbers very good. Blood pressure excellent. Hope I stay as healthy. Only problem is kidney stones tht recur often.
Nothing more to say.
Is there a booklet for seniors with medicare for additional insurance and perscriptions?
You don’t tell us how to get this form. Do we have to contact our health insurance company? Will they send it automatically?
Why don’t you tell us where to get this comparison??????????DUH!!!!
I’m looking for a Medicare Part D program that does NOT force mandatory mail-order for my prescriptions! Mail order prescrptions are the worst idea anybody ever had. Nothing but problems from sending me the wrong drug to sending my drugs late forcing me to be without medication for days. My neighborhood pharmacy (which delivers my medicine to me) says that they can honor any plan I choose, but my last plan suddenly decided that I would have to use their own mail-order pharmacy in order for them to pay for my medicine. Also, the temperature in my town was over 100 degrees for awhile this summer, and I know some drugs cannot be allowed to get too hot or cold.
I’m a senior, too, with a United Healthcare Medicare Advantage plan through AZ Senior Retirement (ASRS). I’m concerned because I’ve read UHC is a for-profit company, its CEO has made $48,000,000 in both 2011 and 2010 (Stephen Hemsley), 2 other execs make $14,000,000/yr. each. Also, I read in the Minneapolis Star Tribune last summer that they had at least 4 vice presidents making over $800,000 per year. What’s being done about this? AARP also uses United Healthcare.
How do I get the GUIDE?
What would really help is if all the employers had open enrollment at the same timed. My wife’s open enrollment is the first two weeks of November and my open enrollment period is the last week of November. There is no way we can compare the two.
Alert–This is not about Open Enrollment. It is about Medicare D, the drug plan. Have you been seeing an upsurge in gouging on your drug charges when you have to pay for prescriptions because you are in the “doughnut hole”? I have, and it’s beyond dramatic, it’s obscene.
“Researchers have suggested that too many consumers stay in the same plan year-after-year due to inertia, not because they conclusively decided it was the best option for them.” That’s me on my Medicare Advantage Plan, Freedom Health! I wish I knew where there was a comparison of plans for Seniors on Medicare, and what’s best for me.
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