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The Grown-Up's Guide to Health Insurance

by
Sara Angle
Author
November 1, 2019

Now is the time to put away money to use for your Parsley Health membership next year—or use your leftover FSA dollars now! Here’s how.

It’s November 1(ish) and the email hits your inbox—open enrollment is officially beginning. So what exactly does that mean? Don’t worry, we’re here to break down everything you need to know about open enrollment period and how you can use insurance at Parsley Health.

Open enrollment is the time each year when you can choose your health insurance plan for the next year.

  • If you work for a mid-sized or larger company, your employer will offer a health insurance program that you can choose to participate in or opt-out of.
  • If you are self-employed or your employer does not offer health insurance, you are able to purchase your own health insurance through the Affordable Care Act or independent health insurance companies.

When is open enrollment?

Typically it takes place between November 1 through December 15, but it can vary based on your employer. Most health insurance plans will begin on January 1 of the following year, but this can also depend on the program offered by your employer. If you’re unsure of the dates of open enrollment at your company, you can always contact your human resources department or insurance provider. Outside of the open enrollment period, you must have a qualifying life event, like a marriage or loss of other insurance, in order to make any changes to your health plan.

Yes, we accept insurance. Find out more by scheduling a 15-minute consult call.

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What happens during health insurance open enrollment?

You can review your health insurance options during this time and choose what makes the most sense based on your current medical needs. For people under 30 with no major ongoing medical costs, high deductible plans may make more sense, because they have a lower monthly cost. The downside of a high deductible plan is the high out-of-pocket cost during major medical events.

You’ll also be able to choose if you want to set up a flexible spending account (FSA) or health savings account (HSA). Both FSA and HSA are pre-tax savings accounts you can use to pay for out-of-pocket medical expenses. Employees contribute to their accounts and sometimes the employer may also contribute.

What is a flexible spending account (FSA)?

Your employer may offer a FSA if you have a group health plan. You choose the amount you want to contribute for the year and it gets deducted from your salary before income taxes. This saves you money on taxes. FSAs are “use it or lose it,” so if you don’t use the money in your account at the end of the year, you lose it.

What is a health savings account (HSA)?

You’re eligible for a HSA if you have a high deductible health plan and you don’t have a FSA. It also has special tax-advantages, because money is not taxed when you earn it and put it into your HSA. It is also not taxed as it grows in your account or when you take money out of it to pay for your medical expenses. Unlike a FSA, HSA balances can grow from year to year and can even be invested.

Does Parsley Health take insurance?

Yes! We're in-network with insurance plans in New York and California, with more on the way. Find out which plans are acceptable and if you're eligible for in-network coverage here .

If you're eligible, here's an overview of how it works:

  • What you'll pay: When you use insurance for medical visits, membership is $69/month or $759 for the year (which means you get a month free when you pay for the year upfront). This includes the rest of the Parsley experience, like your personalized care plan, health coaching, unlimited messaging and support, the secure online member portal, and more. Depending on your insurance, you’ll also either pay a copay upfront, or pay for visits until you hit your deductible and your coinsurance kicks in.
  • Your questions—answered: Your Parsley Health medical team can help answer all your insurance questions, whether you have a PPO, HMO, HDHP, or another type of plan.
  • We handle the paperwork: Don’t worry about sending claims to your insurance company. Parsley Health takes all the paperwork and billing off your plate.

Other ways to use your insurance to pay for Parsley Health

Out-of-network insurance

For some people, Parsley Health is an out-of-network provider. If your insurance plan covers or reimburses for out-of-network provider visits, this means you can submit invoices to your insurance company after each medical visit and they usually cover part of the cost, depending on your exact insurance plan. Typical out-of-network reimbursement will refund the member anywhere from 40-70% the cost of the membership.

Every patient at Parsley Health is supported by a medical team that works with them to coordinate their care. From lab testing and purchasing supplements to coordinating visits with your health coach and clinician, your RN care manager is the go-to resource for questions you may have about how to use insurance at Parsley. They can also help you get invoices that you can then submit to your insurance company for potential reimbursement.

Remember, every insurance program is different so it is best to connect with your insurance provider to clarify your benefits and take advantage of FSA, HSA, and out-of-network coverage.

by
Sara Angle
Author

Sara is a content creator who has worked with outlets such as Outside Magazine, Well + Good, Healthline, and Men's Journal, and as a journalist at Shape and Self and publications in Washington, D.C., Philadelphia, and Rome. She is also an ACE-certified personal trainer. She has a degree in communication with concentrated studies in journalism from Villanova University.

Outside of office hours, you can usually find her taking a dance class, trying out the latest fitness craze, or teaching and performing synchronized swimming with The Brooklyn Peaches.

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