#23 - Open Enrollment

Clicking “same as last year” might be the most expensive choice you make all fall. We break down open enrollment with a practical, no-fluff framework: protect against the big risks, pay cash for the small ones, and route every eligible dollar through the most tax-efficient account. From health insurance trade-offs to the truth about dental and vision, you’ll get clear guidance you can act on today.

We discuss:

• what open enrollment includes across employer plans, Medicare and ACA
• how to compare health plans using usage, networks and drug coverage
• when HDHPs plus HSAs beat rich PPOs on total cost
• why out-of-pocket maximums change worst-case math
• dental and vision as prepaid maintenance, not true insurance
• group life as a baseline, private term for portability and price
• disability insurance trade-offs, taxation and own-occupation definitions
• which add-ons to skip and when FSAs are a clear win
• coordinating benefits and costs across two employers
• quick notes on Medicare Advantage and Part D review