The final weeks of the year can be the smartest time to check a few things off your health to-do list.
Most health insurance plans run on the calendar year. That means on January 1, your deductible, the amount you pay before your insurance starts sharing the cost of care, goes back to zero.
If you’ve already met your deductible this year, or you’re close, the next few weeks offer a valuable window. The test you’ve been postponing or the procedure you’ve been meaning to schedule may cost you less now than it will in a few months.
Why Timing Matters
After you meet your deductible, you typically pay only a copay or coinsurance for covered services. And if you’ve reached your out-of-pocket maximum, your plan may cover 100% of covered, in-network care for the rest of the year.
Wait until January, and you’ll likely be paying full price again until you meet next year’s deductible. If you have a flexible spending account, the end of the year may also be your last chance to use those funds before you lose them.
What to Consider Scheduling Before January
Talk with your provider about whether any of these make sense for you:
- Colonoscopy. Adults at average risk should begin colorectal cancer screening at age 45. If you’re due, or if your doctor has recommended a follow-up exam, now is a good time to book it.
- Lab work. Bloodwork for cholesterol, blood sugar, thyroid function and other routine checks helps you and your provider spot changes early.
- Diagnostic testing. Imaging such as an MRI, CT scan or ultrasound that your doctor has ordered shouldn’t wait.
- Surgery, inpatient or outpatient. If you’ve been putting off a knee repair, hernia surgery or another planned procedure, scheduling it now could save you money. Holiday time off may also give you room to recover.
- Prescription refills. Fill your prescriptions before year’s end, and ask whether a 90-day supply is an option.
A Few Tips Before You Book
- Check your numbers. Log in to your insurance portal or call your insurer to confirm how much of your deductible and out-of-pocket maximum you’ve met.
- Ask about prior authorization. Some tests and procedures need insurance approval first, which can take time.
- Book early. Schedules fill quickly in December as others follow this advice, too.
- Confirm coverage. Make sure your provider and facility are in network to avoid surprise costs.
Every plan is different, so your insurer is the best source for details about your specific coverage.
Find a Provider
Your health deserves attention all year long, but a little planning now can make your care more affordable.
