How to preview plan premiums, benefits and networks:

  1. Browse 2018 rates on HealthCare.gov.
  2. ‘Window shop’ on your state exchange.
  3. Look to your state insurance department.
  4. Consult with a trained advisor.
  5. Check your provider network now.
  6. Talk to your current provider.

Open enrollment begins on November 1. That’s the first day you can complete the enrollment process and select a plan for 2018. But there are steps you can take before November to make sure that you’ve got all your ducks in a row.

If you want to see rates and plan options, the information is “out there” – online, in-person, and by phone. Here are some tips for finding it:

1. Visit HealthCare.gov to preview rates

As in previous years, you can visit HealthCare.gov to get a sense of plan premiums and subsidies by answering a brief series of questions – all without creating an account or providing any personal information. The prices shown won’t account for tobacco use, which will be factored into the premium when you enroll.

Rates and plans for 2018 became available to browse on HealthCare.gov on October 25, a week before the start of open enrollment. You can click here to get to the window shopping tool.

2. ‘Window shop’ on your state exchange

State-run marketplaces / exchanges have more flexibility in terms of when they make new plans available for browsing, and some had made the information available well in advance of open enrollment. For example, Your Health Idaho, the state-run exchange in Idaho, debuted window-shopping for 2018 plans on October 2, 2017. And Covered California made window shopping available on October 11, three weeks before the start of open enrollment.

If you’re in DC or one of the 11 states that use their own exchange enrollment platform, you can visit the exchange site to see if window shopping is available prior to November 1. If you’re not sure what the exchange site is, you can start from HealthCare.gov and choose your state — if it has its own enrollment platform, you’ll be directed there.

3. Look to your state insurance department

But even before window shopping was enabled on the exchange sites, many states – including ones that use HealthCare.gov – had 2018 rates available on their insurance department websites well before open enrollment begins. (Find your state insurance department.) Nebraska has their rates posted here, for example, and the Nevada Division of Insurance has also created a web page where people can select their county and age and see prices of all of the plans that will be available in 2018.

The rates that you’ll see on state insurance department websites don’t account for premium subsidies, however, so browsing on HealthCare.gov or your state exchange site will give you a better idea of what you’ll actually pay in premiums, assuming that you’re eligible for premium subsidies (the upper limit for subsidy eligibility is 400 percent of the poverty level — see this chart for what that amounts to with various family sizes).

4. Consult with a trained advisor

If you’re interested in having a real conversation about your coverage for 2018, you still have plenty of options.

You can contact a navigator or broker in your area now and set up an appointment for a phone or in-person meeting during open enrollment. Having an appointment already on the calendar will help you beat the rush and ensure that you’ll have the help you need.

HealthCare.gov includes a Find Local Help tool that allows you to easily search for approved brokers and navigators in your area. Be aware that the default setting on HealthCare.gov shows navigators and enrollment counselors (not agents or brokers) first, and you have to click on the tab that says “agents and brokers” in order to see them. Navigators and enrollment counselors can help you with the logistics of the enrollment process, but they cannot make plan recommendations. Similar tools for finding local enrollment assistance are available on the websites for the state-run exchanges.

Similar tools for finding local enrollment assistance are available on the websites for the state-run exchanges.

You can also use your phone to “pre-shop” for a plan with a licensed agent – to discuss your personal plan benefit needs, get premium information and get specifics on your subsidy eligibility and subsidy amount. (You can call one of healthinsurance.org’s partners at 1-844-608-2739 to talk with a licensed, exchange-certified brokers who can enroll you in an ACA-compliant plan.)

Having your details worked out so you can enroll in November will make it more likely that you have your new insurance plan and ID card in hand by the start of the new year. Although you can technically apply any time until December 15 and get a January 1 effective date, enrolling as soon as possible gives you more leeway to deal with errors and delays that might occur.

5. Check your provider network now

Over the last few years, there has been considerable public concern (and plenty of outcry from critics) about “narrow networks” – provider networks that have been downsized by insurance carriers as they attempt to control their bottom lines. And it is true that narrower networks could mean that your doctor or your health care facility might no longer be on your current plan’s network for the coming year

(I do want to note that “narrower” networks aren’t necessarily cause for alarm. Health outcomes do not suffer with restricted networks. But I also understand that having to change health care providers — particularly if you’re dealing with an ongoing medical condition — can be nerve-wracking, and that a changed provider may be a deal breaker.)

If keeping your doctor and provider is critical to you, it’s important that you check now with the health insurance carriers in your area and your own doctors’ offices to get up-to-date network information. Carriers must update their provider directories at least monthly, and the directories must include information about which providers are accepting new patients, along with their specialty, location, and contact information. In addition, the directory must be easily available online without requiring the user to create an account or enter a policy number.

Do your homework, but be aware that network agreements are never set in stone. New providers can enter networks, and existing ones can leave (this can happen mid-year, despite the fact that enrollees are not allowed to switch plans mid-year without a qualifying event). This has caused confusion in the past, but new rules that were implemented in 2016 require carriers in the federally facilitated marketplace (HealthCare.gov) to maintain easily accessible, regularly updated provider directories.

6. Talk to your current provider

It’s possible that you may have heard stories of doctors’ offices telling patients that they “didn’t take Obamacare” during the previous open enrollment periods. But Obamacare is not an insurance policy; it’s a law.

All new health individual major medical and small group insurance policies issued from January 1, 2014 onwards – including plans sold in the exchanges and those purchased directly through carriers – are compliant with Obamacare. Expanded Medicaid is also part of Obamacare.

Even if your doctor’s office says they “don’t take Obamacare,” you may find that there are ACA-compliant plans that include your doctor on their network. If keeping your doctor is important to you, have a conversation about acceptable plans in advance of open enrollment.



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