Maximize Your Nebraska Health Insurance Benefits Before Year-End

Maximizing your health insurance benefits before the year ends is a crucial step to ensure you get the most out of your investment while staying on top of your health. If you live in Nebraska and use the Health Insurance Marketplace, it’s even more important to strategically use your benefits to avoid leaving money or services unused. Here are practical strategies to make the most of your health insurance coverage.
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Why Maximize Your Benefits Now?

The end of the year often marks significant changes in health insurance, such as deductible resets and policy updates. This is especially true for Nebraska residents relying on Marketplace plans, where open enrollment can bring new options and changes to your coverage. Preparing ahead ensures you’re not leaving benefits unutilized and minimizes unnecessary costs.

Schedule Annual Check-Ups and Preventive Screenings

Health insurance policies typically cover annual check-ups, vaccinations, and preventive screenings without additional cost. These visits help detect potential health issues early and keep your health on track. Ensure you’ve scheduled any necessary appointments, as medical facilities often get busier towards the year’s end.

Understand Deductible and Out-of-Pocket Maximums

Deductibles reset every year, meaning any progress you’ve made toward meeting yours will disappear once January hits. If you’ve already met your deductible or are close to doing so, consider scheduling treatments or procedures now. This can save you significant out-of-pocket costs before the reset.

Utilize Remaining HSA/FSA Funds

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) offer tax-free savings for medical expenses. However, FSA funds often have a “use-it-or-lose-it” rule, meaning unused money may expire at year-end. In Nebraska, you can use these funds for:
  • Prescription eyewear
  • Dental treatments
  • Over-the-counter medications
  • Copays for eligible services

Plan for Necessary Procedures or Treatments

If you’ve delayed elective procedures, now is the time to schedule them. Consider treatments like physical therapy, dental work, or minor surgeries that may not be covered in the same way next year. Working with in-network providers ensures you avoid unexpected costs.

Use Free Preventive Care Services

Marketplace plans in Nebraska include free preventive care services like cholesterol checks, cancer screenings, and flu shots. These services not only safeguard your health but also maximize your insurance coverage at no additional cost to you.

Check Coverage for Vaccinations

Vaccinations are often fully covered under most Marketplace plans. With cold and flu season in full swing, now is the perfect time to get your flu shot or other necessary immunizations.

Address Prescription Drug Needs

If you take regular medications, check if you’re eligible for a 90-day supply instead of a 30-day refill. This ensures you’re covered during transitions into the new year and helps you avoid potential price hikes or changes in covered drugs.

Explore Mental Health Coverage

Mental health services are becoming increasingly accessible under health insurance policies. If you’ve been considering therapy, counseling, or other mental health services, take advantage of your benefits now before deductibles reset.

Verify In-Network Providers Before Appointments

Ensure that your doctors, specialists, and facilities remain in-network, as out-of-network services come with significantly higher costs. This is especially relevant for Nebraska residents using Marketplace plans, as provider networks can vary.

Consider Telehealth Options

Telehealth services are a convenient way to access care without the hassle of in-person visits. Many health plans cover telehealth appointments for primary care, mental health, and more.

Understand Open Enrollment and Changes for the Next Year

Nebraska’s Health Insurance Marketplace open enrollment typically occurs from November to January. Use this period to compare plans, update your coverage, and ensure that your policy aligns with your health needs for the upcoming year.

Seek Support from Mark for Marketplace Coverage Questions in Nebraska

Navigating the Marketplace can be challenging. Mark Schlange from Marketplace Nebraska can help answer your questions, clarify coverage, and assist with enrollment.

Strategies for Families and Dependents

If you’re covering dependents, review their health needs and ensure they’ve utilized preventive care benefits. Children may qualify for additional services under specific Marketplace plans in Nebraska.

Wrap-Up: Start Planning for Next Year

Take the insights you’ve gathered this year to better plan for 2024. Keep track of your expenses, understand your policy changes, and consider contributing to an HSA if eligible. Staying informed ensures you’ll maximize your health insurance benefits year after year.

 
By following these strategies, Nebraska residents can effectively maximize their health insurance benefits before year-end. From scheduling check-ups to utilizing HSA/FSA funds and understanding deductible resets, taking proactive steps now ensures both financial savings and improved health.

Need Assistance? Contact Mark from Marketplace Nebraska!

If you have questions about your Marketplace plan, need help scheduling services, or want personalized guidance, reach out to Mark at Marketplace Nebraska at 402-718-9400. His expertise in navigating health insurance plans ensures you make the most of your benefits before the year ends.

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