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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. That way there are no billing surprises, and your concern gets the dedicated time it needs."}],"style":"normal"}]},{"_key":"a15978a1b374","_type":"featureCard","text":[{"_key":"ebd3574557d0","_type":"block","children":[{"_key":"d502119cb8c7","_type":"span","text":"Ask Us to Keep It Preventive"}],"style":"h4"},{"_key":"ad924b605207","_type":"block","children":[{"_key":"79bc9b46047b","_type":"span","text":"If a new symptoms or concern pops up during your Annual Exam, just tell your provider, \"I'd like to hold off on discussing that for today to keep this visit purely preventive.\" We completely understand and are here to help."}],"style":"normal"}]},{"_key":"6dd916bf9c3c","_type":"featureCard","text":[{"_key":"a0d37376cae6","_type":"block","children":[{"_key":"d91f8055a4e3","_type":"span","text":"Know the Difference in Advance"}],"style":"h4"},{"_key":"979520ac65c2","_type":"block","children":[{"_key":"3d7d0582050f","_type":"span","text":"If you're coming in for an Annual Exam but also want to check on a chronic condition (like PCOS), insurance will likely reclassify that portion of your visit as a \"problem visit\", which means an additional charge on your end."}],"style":"normal"}]}],"layoutType":"3across"}]},{"_key":"6f32482569c2","_type":"editorialText","editorialText":[{"_key":"c4b1a2753572","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"9c8bc3774720","_type":"block","children":[{"_key":"bff8e0ae1703","_type":"span","text":"Tia Tip"}],"style":"h3"},{"_key":"2b2b0f763f0a","_type":"block","children":[{"_key":"34248a13929b","_type":"span","text":"Questions to ask your insurance provider for preventative care:"}],"style":"normal"},{"_key":"1823b7ab03ba","_type":"block","children":[{"_key":"0fa25b5f6ef8","_type":"span","text":"Does my insurance plan cover preventive care at 100%?"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"4e975329ed7d","_type":"block","children":[{"_key":"b91ada62e19c","_type":"span","text":"What preventive services are covered under my plan?"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"ebfedc1a2884","_type":"block","children":[{"_key":"fc47334ad4a9","_type":"span","text":"Are there limits on how often I can receive these services?"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"4dd8f76abae2","_type":"block","children":[{"_key":"3bf4f97d0a87","_type":"span","text":"What specific screenings, vaccinations, or lab tests included?"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"50135307ebc3","_type":"block","children":[{"_key":"58bf00079a50","_type":"span","text":"What happens if a preventive visit becomes diagnostic?"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"3430f2d7ca28","_type":"buttonBlock","items":[{"_key":"72662cd9245d","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bcorange","linkCta":"See if you're in network","linkType":"join-scroll-shape"}],"onlyStackButtons":false}]},{"_key":"9b17a9c36d00","_type":"block","children":[{"_key":"6d1cafb0e4f7","_type":"span","text":""}],"style":"normal"}],"spacing":"pys"},{"_key":"9aaf3d9c3790","_type":"standardText","backgroundColor":"bccream","options":{"_type":"moduleOptions","uid":"cost-sharing"},"spacing":"pys","text":[{"_key":"5e139b47a5e4","_type":"block","children":[{"_key":"a5f3d86eee71","_type":"span","text":"Cost-Sharing: The Big Four "},{"_key":"db0d8b8b12e0","_type":"span","marks":["em"],"text":"Explained"}],"style":"h2"},{"_key":"c3021b9c545a","_type":"block","children":[{"_key":"5a0f6dc79814","_type":"span","text":"When you use your health insurance, you are responsible for paying a portion of the total cost. This is called "},{"_key":"78cb3e53cfa6","_type":"span","marks":["strong"],"text":"cost-sharing"},{"_key":"c5e9b2ca608d","_type":"span","text":"."}],"style":"normal"}]},{"_key":"439ede3168fd","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","subTable":{"_type":"table","rows":[{"_key":"b134b05bb6c2","_type":"tableRow","cells":[" Term","What It Is","How it Works"]}]},"table":{"_type":"table","rows":[{"_key":"572e93d9f7ac","_type":"tableRow","cells":["<b>Deductible</b>","The <b>total amount you must pay</b> for covered services <b>before</b> your insurance company starts to pay for anything other than preventive care.","Example: If your deductible is <b>$2,500</b>, you pay the first $2,500 in medical bills for the year. Once you hit that number, the insurance \"kicks in\" and starts paying a share. Your deductible resets every year."]},{"_key":"0be67eab42b0","_type":"tableRow","cells":["<b>Copayment (Copay)</b>","A <b>fixed, flat fee</b> you pay for certain services. 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Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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We’re here with the essential steps and insights you need to make the best decision for the year ahead."}],"markDefs":[],"style":"normal"},{"_key":"020f183409bb","_type":"block","children":[{"_key":"1de8a6186eb10","_type":"span","marks":[],"text":"Healthcare is confusing. Between the need-to-Google terminology and the ever-changing rules, it can be a headache to understand—but it’s also crucial to know how your plan works. Knowing your coverage makes it easier to choose the right plan "},{"_key":"1de8a6186eb11","_type":"span","marks":["em"],"text":"and"},{"_key":"1de8a6186eb12","_type":"span","marks":[],"text":" take full advantage of your current benefits. (You’re paying for them, after all.)"}],"markDefs":[],"style":"normal"},{"_key":"19932b31458f","_type":"block","children":[{"_key":"bd6d0ddc49b90","_type":"span","marks":[],"text":"To ensure you get the healthcare you need without surprises, we recommend carving out time during the Open Enrollment window to call your insurance provider, ask some important questions, and truly get to know your plan options."}],"markDefs":[],"style":"normal"},{"_key":"704cbde1f918","_type":"sectionHeader","headerLevel":"h2","title":"Step 1: Get Prepared to Research Your Options"},{"_key":"9fe04bd86b02","_type":"block","children":[{"_key":"d5a5bf2426f80","_type":"span","marks":[],"text":"Before getting on the phone with your insurance provider or logging into your benefits portal, take a few minutes to get ready."}],"markDefs":[],"style":"normal"},{"_key":"425536d66bfd","_type":"block","children":[{"_key":"d96072412853","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d6dad85682a","_type":"block","children":[{"_key":"8735d7e7e651","_type":"span","marks":["strong"],"text":"Gather Your Plan Documents"}],"markDefs":[],"style":"normal"},{"_key":"f42ce66d14ee","_type":"block","children":[{"_key":"71ae0696c6dc0","_type":"span","marks":[],"text":"Have the following documents from your current or potential plans handy:"}],"markDefs":[],"style":"normal"},{"_key":"2883f5fbd2ee","_type":"block","children":[{"_key":"71a2ad85c8020","_type":"span","marks":[],"text":"Your current insurance card."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"707f7a34c6bf","_type":"block","children":[{"_key":"487221ec374f0","_type":"span","marks":[],"text":"A copy of the plan’s "},{"_key":"487221ec374f1","_type":"span","marks":["strong"],"text":"Summary of Benefits and Coverage (SBC)"},{"_key":"487221ec374f2","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bc5996ade97","_type":"block","children":[{"_key":"c291fb0f1b140","_type":"span","marks":[],"text":"Recent "},{"_key":"c291fb0f1b141","_type":"span","marks":["strong"],"text":"Explanation of Benefits (EOB)"},{"_key":"c291fb0f1b142","_type":"span","marks":[],"text":" statements, if applicable."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c595998f1ddc","_type":"block","children":[{"_key":"97a12ca8ec6b0","_type":"span","marks":[],"text":"A list of past and upcoming medical appointments or treatments, including any ongoing prescriptions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2d832669a8d","_type":"block","children":[{"_key":"782b3c8a7944","_type":"span","marks":["strong"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"ff74e7276320","_type":"block","children":[{"_key":"d089cfcf2d910","_type":"span","marks":["strong"],"text":"Review Your Medical History and Think About the Year Ahead"}],"markDefs":[],"style":"normal"},{"_key":"661e2ee51c41","_type":"block","children":[{"_key":"b837818b814a0","_type":"span","marks":[],"text":"Make a list of any ongoing health conditions (e.g., fertility treatments, chronic illness management) and medical needs for the upcoming year (e.g., planned surgeries, mental health support, family planning). Determine how your coverage needs might change based on lifestyle shifts, like starting a family or taking a new medication."}],"markDefs":[],"style":"normal"},{"_key":"77170071513a","_type":"sectionHeader","headerLevel":"h2","title":"Step 2: Key Questions to Ask When Comparing Plans"},{"_key":"89a062dc79ae","_type":"block","children":[{"_key":"174fabad576e0","_type":"span","marks":[],"text":"Getting a thorough understanding of your coverage involves asking some nitty-gritty questions. Use this list as a guide when speaking with an insurance representative or reviewing the "},{"_key":"174fabad576e1","_type":"span","marks":["strong"],"text":"Summary of Benefits and Coverage (SBC)"},{"_key":"174fabad576e2","_type":"span","marks":[],"text":" for a potential plan."}],"markDefs":[],"style":"normal"},{"_key":"a6c7e5b1b7d4","_type":"sectionHeader","headerLevel":"h3","title":"Coverage & Network Questions"},{"_key":"54c25e68f126","_type":"block","children":[{"_key":"2b83a9d1500c0","_type":"span","marks":[],"text":"Getting these answers will help you learn how your benefits work and how to make the most of them."}],"markDefs":[],"style":"normal"},{"_key":"cca49e88d4da","_type":"tableModule","subTable":{"rows":[{"_key":"8974759c-bd5f-4cdb-91fa-69e83157b11c","_type":"tableRow","cells":["Category","Key Questions to Ask"]}]},"table":{"rows":[{"_key":"fb8a0faf-e838-451f-9ca7-6ba5a496d023","_type":"tableRow","cells":["<b>General Coverage</b>","What is my <b>deductible</b>? How much do I pay before my plan starts covering care? What are my <b>out-of-pocket maximums</b>? Does my maximum include copays? Is there a <b>co-insurance</b> rate after my deductible is met? Do I have to select a <b>primary care provider (PCP)</b>?"]},{"_key":"0e841ae7-66e0-4a97-bcc4-2a7f27252f15","_type":"tableRow","cells":["<b>Network & Providers</b>","Is my current doctor or specialist <b>in-network</b>? Do I need a <b>referral</b> to see specialists (e.g., dermatologists, mental health professionals)? What are the rules for <b>out-of-network</b> providers?"]},{"_key":"bc5bc4d4-fb20-4ab5-8680-5247f966b8c4","_type":"tableRow","cells":["<b>Prescription Coverage</b>","Are my <b>prescription medications</b> covered? Is there a <b>formulary</b> I should review? What are the <b>co-pay amounts</b> for different types of prescriptions (generics vs. brand-name)?"]}]}},{"_key":"fa89de229fb2","_type":"sectionHeader","headerLevel":"h3","title":"Services & Treatments Questions"},{"_key":"c8f2f3313e4b","_type":"block","children":[{"_key":"3c398564997f0","_type":"span","marks":[],"text":"These questions help you dive deeper into what types of services are covered by your plan."}],"markDefs":[],"style":"normal"},{"_key":"10a821ede3cd","_type":"tableModule","subTable":{"rows":[{"_key":"bfc91828-2ef1-48db-ae07-c28de2f93885","_type":"tableRow","cells":["Category","Key Questions to Ask"]}]},"table":{"rows":[{"_key":"eb435882-6852-414f-8275-c180b8b0ae25","_type":"tableRow","cells":["<b>Preventive Care</b>","What preventive services are fully covered (annual physicals, vaccines, screenings)? Are annual preventive visits and counseling covered at 100% by insurance or will I have a cost share?"]},{"_key":"9d5d1431-d326-46de-a088-20377ad06ba2","_type":"tableRow","cells":["<b>Specialty Services</b>","Are mental health services covered, and if so, what types of care (e.g., therapy, psychiatry)? What alternative treatments are covered (e.g., acupuncture, chiropractic care)? Are there limitations on when these services will be covered?"]},{"_key":"805076de-f38a-4726-83fc-141c530ebbff","_type":"tableRow","cells":["<b>Chronic Conditions & Needs</b>","Does the plan cover care for chronic conditions (e.g., diabetes, asthma)? What fertility treatments are covered (e.g., IVF, egg freezing)? Are maternity services fully covered?"]}]}},{"_key":"5f3b6b44681d","_type":"sectionHeader","headerLevel":"h2","title":"Step 3: Finding Your Perfect Fit: Case Studies in Plan Selection"},{"_key":"3fdba81a79f5","_type":"block","children":[{"_key":"dd69b75bcaeb0","_type":"span","marks":[],"text":"The answers to the questions above will help you weigh the costs and benefits of each plan option. \n\nTo illustrate the choices, meet "},{"_key":"1e1656ed3ec1","_type":"span","marks":["strong"],"text":"Carly, Bea, and Alice"},{"_key":"8d0300c470c2","_type":"span","marks":[],"text":". Their scenarios will reference three different types of Insurance plans: the Gold PPO 2000, the Gold PPO 1000, and the HDHP 5000."}],"markDefs":[],"style":"normal"},{"_key":"e7c194e890c8","_type":"tableModule","subTable":{"rows":[{"_key":"89aef08e-1ab0-486c-898d-710ff82e2a88","_type":"tableRow","cells":["Plan","Premium / Deductible","Best For"]}]},"table":{"rows":[{"_key":"a9047c96-988f-47b6-8b0c-cfecf59444e3","_type":"tableRow","cells":["<b>HDHP 5000</b>","$50/month (Lowest) <b>/</b> $5,000 (Highest)","Healthy individuals who only anticipate needing routine preventive services and want a low-cost plan."]},{"_key":"4c8e3cf8-639d-4097-9cf0-e364013807e0","_type":"tableRow","cells":["<b>Gold PPO 2000</b>","$100/month (Low) <b>/</b> $2,000 (Mid)","Those who need specific covered services (like acupuncture) but don't expect frequent visits."]},{"_key":"18160790-6ce3-46a9-a366-a858b0344c17","_type":"tableRow","cells":["<b>Gold PPO 1000</b>","$200/month (Highest) <b>/</b> $1,000 (Lowest)","Those expecting frequent doctor’s appointments who need predictable costs (copays)."]}]}},{"_key":"681ea84f74d8","_type":"cta","backgroundColor":"bcb","text":[{"_key":"735495fa5daa","_type":"block","children":[{"_key":"e974c6801c320","_type":"span","marks":["strong"],"text":"Open Enrollment Alert: Government Uncertainty and Your Premiums"}],"markDefs":[],"style":"h3"},{"_key":"f74fd11119a4","_type":"block","children":[{"_key":"7b2e38e780320","_type":"span","marks":[],"text":"As you approach your Open Enrollment decision, be aware that the current government funding debate may have a significant and immediate impact on your costs."}],"markDefs":[],"style":"normal"},{"_key":"932f70b20278","_type":"block","children":[{"_key":"cfaf2acf9b860","_type":"span","marks":[],"text":"A key point of dispute causing the current federal government shutdown is the potential expiration of the "},{"_key":"cfaf2acf9b861","_type":"span","marks":["strong"],"text":"Affordable Care Act (ACA) enhanced premium tax credits (subsidies)"},{"_key":"cfaf2acf9b862","_type":"span","marks":[],"text":" at the end of the year."}],"markDefs":[],"style":"normal"},{"_key":"78819ea20967","_type":"block","children":[{"_key":"1df3dccc523d0","_type":"span","marks":["strong"],"text":"What This Means for You:"}],"markDefs":[],"style":"normal"},{"_key":"34c894a9b4dd","_type":"block","children":[{"_key":"8d72b6ee200e0","_type":"span","marks":[],"text":"If these enhanced subsidies are "},{"_key":"8d72b6ee200e1","_type":"span","marks":["strong"],"text":"not extended"},{"_key":"8d72b6ee200e2","_type":"span","marks":[],"text":" by Congress, millions of Americans who purchase their coverage on the ACA Marketplace could face a dramatic increase in their monthly premium payments—in some cases, seeing costs more than double."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ac14b4874d79","_type":"block","children":[{"_key":"ee157d77c15e0","_type":"span","marks":["strong"],"text":"Actionable Step:"},{"_key":"ee157d77c15e1","_type":"span","marks":[],"text":" The rates you see quoted during Open Enrollment may reflect the loss of these subsidies. It is vital to ask your Marketplace or insurer how the ongoing debate will affect your final, out-of-pocket premium. Check for communications from your state or the federal marketplace regarding rate changes and the subsidy status."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"1540bcefad74","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 1: Carly's Open Enrollment Choice - Prioritizing Low Premiums"},{"_key":"d22643ea975e","_type":"block","children":[{"_key":"60db67098b930","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"60db67098b931","_type":"span","marks":[],"text":" Carly is rarely sick and doesn’t expect to need frequent medical care, but wants to stay prepared in case of emergencies. She’s also focused on maintaining her health through preventive care."}],"markDefs":[],"style":"normal"},{"_key":"9ae989fccd04","_type":"block","children":[{"_key":"de856952decf0","_type":"span","marks":["strong"],"text":"Plan chosen: HDHP 5000"}],"markDefs":[],"style":"normal"},{"_key":"5d3af1ba0eb4","_type":"block","children":[{"_key":"b1fc8ae120dc0","_type":"span","marks":["strong"],"text":"Carly’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"fc5161a18576","_type":"block","children":[{"_key":"d16ff68525870","_type":"span","marks":[],"text":"Carly isn’t expecting many doctor visits but wants to make sure her "},{"_key":"d16ff68525871","_type":"span","marks":["strong"],"text":"preventive care is covered"},{"_key":"d16ff68525872","_type":"span","marks":[],"text":", which the HDHP 5000 plan offers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"391815456397","_type":"block","children":[{"_key":"7901db7b5d2c0","_type":"span","marks":[],"text":"The "},{"_key":"7901db7b5d2c1","_type":"span","marks":["strong"],"text":"lower premium of $50/month"},{"_key":"7901db7b5d2c2","_type":"span","marks":[],"text":" works well with Carly’s budget, and she’s comfortable with the higher $5,000 deductible since she rarely needs medical attention."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9f4b6e55267c","_type":"block","children":[{"_key":"a429f408bf5a0","_type":"span","marks":[],"text":"Carly’s focus for the Open Enrollment decision is on saving money while still ensuring she’s protected in case of emergencies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"caae50dd8494","_type":"block","children":[{"_key":"ce482af51d820","_type":"span","marks":["strong"],"text":"Plan benefits for Carly:"}],"markDefs":[],"style":"normal"},{"_key":"8fd070c475a9","_type":"block","children":[{"_key":"ba66164643950","_type":"span","marks":[],"text":"Full coverage for preventive services without needing to meet the deductible."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2dd981077207","_type":"block","children":[{"_key":"7b24ea5ee9380","_type":"span","marks":[],"text":"Lower monthly premiums that allow her to save more."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b6a611e078dd","_type":"block","children":[{"_key":"5f7d304060890","_type":"span","marks":[],"text":"Out-of-pocket costs are manageable because Carly doesn’t foresee major medical expenses in the coming year."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b371ab44b73","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 2: Bea's Open Enrollment Choice - Managing Ongoing Care"},{"_key":"5dd2dab3091a","_type":"block","children":[{"_key":"ab5c06eb37cf0","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"ab5c06eb37cf1","_type":"span","marks":[],"text":" Bea was recently diagnosed with PCOS and needs regular doctor visits, lab work, and fertility consultations. She expects to have more frequent healthcare needs throughout the year."}],"markDefs":[],"style":"normal"},{"_key":"f7a57c819598","_type":"block","children":[{"_key":"75f1ca97fdf20","_type":"span","marks":["strong"],"text":"Plan Chosen: Gold PPO 1000."}],"markDefs":[],"style":"normal"},{"_key":"e79671c970c1","_type":"block","children":[{"_key":"004a58dfc6110","_type":"span","marks":["strong"],"text":"Bea’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"35143371dc32","_type":"block","children":[{"_key":"2570aaaba50f0","_type":"span","marks":[],"text":"The "},{"_key":"2570aaaba50f1","_type":"span","marks":["strong"],"text":"$1,000 deductible is manageable"},{"_key":"2570aaaba50f2","_type":"span","marks":[],"text":", and she likes having fixed "},{"_key":"2570aaaba50f3","_type":"span","marks":["strong"],"text":"copays for office visits"},{"_key":"2570aaaba50f4","_type":"span","marks":[],"text":" ($50 for primary care, $75 for specialists), which helps her budget for more frequent appointments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5f2fb17e344","_type":"block","children":[{"_key":"d356481e1bcb0","_type":"span","marks":[],"text":"She anticipates needing frequent lab work, office visits, and fertility consultations, and the Gold PPO 1000 plan covers more of these costs than the other options."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec172fe32af7","_type":"block","children":[{"_key":"253f33ebbc1f0","_type":"span","marks":[],"text":"Although the monthly premium is higher ($200/month), Bea values knowing her office visits will be affordable when she needs them, providing financial predictability for the year ahead."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"143be1f9d615","_type":"block","children":[{"_key":"c7be35afcf050","_type":"span","marks":["strong"],"text":"Plan benefits for Bea:"}],"markDefs":[],"style":"normal"},{"_key":"a9a65c738c97","_type":"block","children":[{"_key":"cbf8110a30eb0","_type":"span","marks":[],"text":"Lower out-of-pocket costs for office visits and specialist appointments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61700b63841b","_type":"block","children":[{"_key":"2d6e8b03707f0","_type":"span","marks":[],"text":"Greater financial predictability for ongoing healthcare and lab work."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2d62f53410c6","_type":"block","children":[{"_key":"18602947a8850","_type":"span","marks":[],"text":"Peace of mind knowing her PCOS treatments will be more easily covered."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cbd36fcd58f5","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 3: Alice's Open Enrollment Choice - Needing Alternative Therapies"},{"_key":"0908b8fafa28","_type":"block","children":[{"_key":"250610b6ae570","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"250610b6ae571","_type":"span","marks":[],"text":" Alice has lingering back pain from a car accident and is exploring alternative treatments like acupuncture. She’s not often sick, but she wants coverage for complementary therapies."}],"markDefs":[],"style":"normal"},{"_key":"306cd4a20a11","_type":"block","children":[{"_key":"afb59ea1de0b0","_type":"span","marks":["strong"],"text":"Plan Chosen: Gold PPO 2000."}],"markDefs":[],"style":"normal"},{"_key":"638019a3c167","_type":"block","children":[{"_key":"23c79c567acb0","_type":"span","marks":["strong"],"text":"Alice’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"fe5eb6ba150d","_type":"block","children":[{"_key":"b2113ed676050","_type":"span","marks":[],"text":"The "},{"_key":"b2113ed676051","_type":"span","marks":["strong"],"text":"$100/month premium is a middle ground"},{"_key":"b2113ed676052","_type":"span","marks":[],"text":" for her budget, and while she’s okay with a higher "},{"_key":"b2113ed676053","_type":"span","marks":["strong"],"text":"deductible of $2,000"},{"_key":"b2113ed676054","_type":"span","marks":[],"text":", she prioritizes coverage for acupuncture, which isn’t offered under the HDHP 5000."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a9f8df721597","_type":"block","children":[{"_key":"3f6e0b4bc2960","_type":"span","marks":[],"text":"She doesn’t need frequent medical visits, but when she does, she wants the flexibility to access specialists like acupuncturists without breaking the bank."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bc78fe5867dc","_type":"block","children":[{"_key":"96692cc468260","_type":"span","marks":[],"text":"The plan strikes a balance between affordability and access to the specific treatments she needs most, like acupuncture."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8182eb12b84b","_type":"block","children":[{"_key":"3b9317c78b590","_type":"span","marks":["strong"],"text":"Plan benefits for Alice:"}],"markDefs":[],"style":"normal"},{"_key":"a29e9cd3d528","_type":"block","children":[{"_key":"a9ebe96af9ab0","_type":"span","marks":[],"text":"Lower monthly premiums while still offering access to acupuncture services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8493a45819a9","_type":"block","children":[{"_key":"32336a9c21f10","_type":"span","marks":[],"text":"Flexibility to meet her back pain management needs without frequent doctor visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc2bc5b78579","_type":"block","children":[{"_key":"31fde5adc2700","_type":"span","marks":[],"text":"The higher deductible works for Alice since she doesn’t expect to meet it often, but she’s comfortable with paying out of pocket for more expensive visits when needed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"489b13bb21a5","_type":"cta","backgroundColor":"bccream","text":[{"_key":"32742315f962","_type":"block","children":[{"_key":"dcfa106ebeae0","_type":"span","marks":["strong"],"text":"Not sure which insurance plan is right for you?"}],"markDefs":[],"style":"h3"},{"_key":"2a0a325dba4a","_type":"block","children":[{"_key":"99899ebee549","_type":"span","marks":[],"text":"Answer some simple questions about your priorities and walk away with answers and actionable next steps so you can take care of your whole health—in open enrollment season and beyond."}],"markDefs":[],"style":"normal"},{"_key":"20ca78e14507","_type":"buttonBlock","items":[{"_key":"a172445c86b9","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bctran","linkCta":"Take quiz now!","linkType":"button","url":"https://learn.asktia.com/insurancequiz/?utm_medium=organic-search&utm_source=blog"}],"onlyStackButtons":false}]},{"_key":"55b9d677f767","_type":"sectionHeader","headerLevel":"h2","title":"Step 4: Making the Final Decision and Next Steps"},{"_key":"5a06628ca910","_type":"block","children":[{"_key":"ce1e4c8d32a40","_type":"span","marks":[],"text":"As Carly, Alice, and Bea showed, there’s no one-size-fits-all solution: you need insurance that works for your specific financial and healthcare needs."}],"markDefs":[],"style":"normal"},{"_key":"56136f7e88fb","_type":"block","children":[{"_key":"02dcc6289934","_type":"span","marks":["strong"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"b3b6c57bf226","_type":"block","children":[{"_key":"8243b1fcaef90","_type":"span","marks":["strong"],"text":"Document Your Conversation"}],"markDefs":[],"style":"normal"},{"_key":"b1aa3cb48e39","_type":"block","children":[{"_key":"c7fc923b324c0","_type":"span","marks":[],"text":"Once you’ve finished speaking with your insurance representative:"}],"markDefs":[],"style":"normal"},{"_key":"cb6589855ac3","_type":"block","children":[{"_key":"6c48892e95490","_type":"span","marks":[],"text":"Ask for a confirmation number or a reference to your call."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d919cc4eba8f","_type":"block","children":[{"_key":"4e6c38d12bde0","_type":"span","marks":[],"text":"Request an email follow-up that outlines any agreements or complex coverage details."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"810853ffbee8","_type":"block","children":[{"_key":"bb8a3d8789e90","_type":"span","marks":[],"text":"Keep detailed notes, including the name of the representative you spoke 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These changes have led to confusion and concern, particularly among women and marginalized groups."}],"markDefs":[],"style":"normal"},{"_key":"40127e758853","_type":"block","children":[{"_key":"d95f012a7e180","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"afc8a53f6d0d","_type":"block","children":[{"_key":"352b80ef0d0a0","_type":"span","marks":[],"text":"At Tia, our mission is to be a trusted healthcare advisor for women, providing clear, factual information to help you make informed decisions. Below, we outline the key policy changes and their potential impacts, along with practical steps you can take to protect your health and coverage."}],"markDefs":[],"style":"normal"},{"_key":"05e16b4053f1","_type":"sectionHeader","headerLevel":"h2","title":"Care Access"},{"_key":"6dd11a4a1f92","_type":"block","children":[{"_key":"475a460b3f29","_type":"span","marks":[],"text":"Access to abortion care:"}],"markDefs":[],"style":"h3"},{"_key":"87da617d11b4","_type":"block","children":[{"_key":"1c47379b41230","_type":"span","marks":[],"text":"In 2022, the United States Supreme Court decided a landmark case, Dobbs v. Jackson Women's Health Organization. While this case effectively removed the "},{"_key":"1aede4d15cc8","_type":"span","marks":["em"],"text":"federal constitutional right"},{"_key":"d93c09b3bc27","_type":"span","marks":[],"text":" to bodily autonomy for pregnant women, it did not ban abortions nationwide. Rather, the court’s decision gave individual states (not the federal government) increased rights to determine abortion laws in their respective states. Certain states used this decision as a basis to limit or even outlaw abortions, but other states have remained steadfast in their protection of abortion rights. California, New York, or Arizona (states in which Tia currently provides service) continue to protect abortion rights through state constitutions and statutes. Thus far, the Trump administration has not indicated plans to alter this state-level authority."}],"markDefs":[],"style":"normal"},{"_key":"9ae8c09301bd","_type":"block","children":[{"_key":"9550297a9cd90","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bcf41f81c502","_type":"block","children":[{"_key":"473e3173d5320","_type":"span","marks":[],"text":"In California, Governor Gavin Newsom signed legislation in September 2025 to enhance access to contraception, including over-the-counter options, and to strengthen patient confidentiality protections. In March 2025, a Superior Court judge in Arizona permanently blocked the state's 15-week abortion ban, ruling it unconstitutional in light of the new constitutional amendment."}],"markDefs":[],"style":"normal"},{"_key":"ab5f19d7a5bb","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1f2183fcae1d","_type":"block","children":[{"_key":"bc62bdc7cd11","_type":"span","marks":["strong","em"],"text":"Simplified: Reproductive rights are controlled by the states, not the federal government, since the overturning of Dobbs in 2022. The Trump administration has not indicated a plan to change this. Abortions are legal in CA, NY, and AZ."}],"markDefs":[],"style":"normal"}]},{"_key":"3df7fb2a7a0c","_type":"sectionHeader","headerLevel":"h2","title":"Care for LGBTQIA and individuals subjected to gender-based violence"},{"_key":"ceadae6041c4","_type":"block","children":[{"_key":"e1f0673b9bea0","_type":"span","marks":[],"text":"The new administration has scrubbed government and federal agency websites of content that protects the LGBTQIA community. These actions follow executive orders ending federal funding for gender-affirming care, which would include terminating government-sponsored healthcare for gender affirming programs under Medicaid and Medicare. On June 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule prohibiting health insurers from providing coverage for \"sex-trait modification procedures\" as an essential health benefit under the Affordable Care Act's health insurance exchanges. While private/commercial payors have not yet announced similar policies, historically, we have seen commercial payors (eg Aetna, Cigna, United Healthcare, Blue Cross, Anthem etc) follow the same coverage guidelines used by Medicare & Medicaid Services."}],"markDefs":[],"style":"normal"},{"_key":"2d771981e64d","_type":"block","children":[{"_key":"82a600ebfa28","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6168b74865cf","_type":"cta","backgroundColor":"bccream","text":[{"_key":"3d1d2a8ddba6","_type":"block","children":[{"_key":"9c260f69410d0","_type":"span","marks":["strong","em"],"text":"Simplified: the rights for LGBTQIA people to access gender affirming care no longer broadly exists in this country, and we are watching changes to private/commercial coverage decisions closely."}],"markDefs":[],"style":"normal"}]},{"_key":"2034add44f75","_type":"block","children":[{"_key":"b75739cb68e70","_type":"span","marks":[],"text":"Numerous lawsuits have been filed challenging these federal and state-level restrictions. Some federal judges have issued injunctions blocking the enforcement of certain provisions, such as withholding federal funds from hospitals providing gender-affirming care to minors. However, the legal landscape remains fluid, with ongoing litigation that may impact the implementation of these policies."}],"markDefs":[],"style":"normal"},{"_key":"bc5127ec4dfc","_type":"sectionHeader","headerLevel":"h2","title":"Coverage under the Affordable Care Act (ACA)"},{"_key":"87abe920d7a5","_type":"block","children":[{"_key":"ca77dda8fb7c0","_type":"span","marks":[],"text":"The Affordable Care Act (ACA)(5) is an Obama-era policy that instituted enhanced access and coverage for key healthcare services. The ACA is known most significantly for federally mandating that individuals obtain healthcare coverage, and instituting the exchange (marketplace) for individuals to buy insurance policies."}],"markDefs":[],"style":"normal"},{"_key":"d4ccd2f2b59c","_type":"block","children":[{"_key":"cf3cd6f986640","_type":"span","marks":[],"text":"Healthcare exchange or marketplace plans (terms used interchangeably) are services available in every state that help individuals, families, and small businesses shop for, and enroll in, affordable medical insurance that meet ACA guidelines."}],"markDefs":[],"style":"normal"},{"_key":"e68a2ad5f3d6","_type":"block","children":[{"_key":"e688cb9636690","_type":"span","marks":[],"text":"In most states, the federal government runs the Marketplace or exchange plans available at HealthCare.gov, although some states run their own Marketplaces at different websites. These plans are also accessible through call centers and in-person assistance. If you have an individual plan *not* purchased for you by your employer, you likely have a marketplace plan."}],"markDefs":[],"style":"normal"},{"_key":"c2b4cf3b8676","_type":"block","children":[{"_key":"00a8302fbd8c0","_type":"span","marks":[],"text":"The prior Trump administration rolled back the federal mandate (requiring all in the US to obtain healthcare coverage) in 2017, as part of Tax Cuts and Jobs Act (6). Now, only certain states (Massachusetts, New Jersey, Rhode Island, Vermont, and Washington, D.C) have individual coverage mandates."}],"markDefs":[],"style":"normal"},{"_key":"e9b9c7b9f72c","_type":"sectionHeader","headerLevel":"h2","title":"Policies that impact ACA access"},{"_key":"774cd73cf836","_type":"block","children":[{"_key":"201b62ed99b90","_type":"span","marks":[],"text":"In addition to Trump administration policies that may shift coverage options in the coming years, the administration reduced funding for ACA “navigator” programs — which help people understand their ACA options and enroll — by about 90%. This reduction means many areas will have fewer or no navigators to help low-income or first-time enrollees. Specifically, the new administration has taken measures to:"}],"markDefs":[],"style":"normal"},{"_key":"05db2a07b18e","_type":"block","children":[{"_key":"4ea5754ffc710","_type":"span","marks":[],"text":"Compress the open enrollment window (Nov. 1 - Dec. 15) for federal exchanges"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"35b0ef6b4339","_type":"block","children":[{"_key":"90e634294fab0","_type":"span","marks":[],"text":"Institute stricter measures for pre-enrollment verification and documentation;"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"365b52cfb936","_type":"block","children":[{"_key":"7821c6cb6a360","_type":"span","marks":[],"text":"Rescind Biden-era policies aimed at increasing coverage and access for individuals. The policies facing roll-back include mid-year enrollment and affordability of coverage or financial assistance for coverage."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c14d0acdaa4","_type":"block","children":[{"_key":"c98fd44f8e470","_type":"span","marks":[],"text":"Healthcare policy analysts have pointed out that as individual access to ACA marketplace options decreases, demand for employer sponsored plans will increase – resulting in higher costs to employers and employees in these plans who have commercial insurance."}],"markDefs":[],"style":"normal"},{"_key":"81395b532380","_type":"block","children":[{"_key":"f9d559befd33","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5252cbee1205","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1da8de3bfc1d","_type":"block","children":[{"_key":"00915ba7c2860","_type":"span","marks":["strong","em"],"text":"Simplified: for those who access plans through the exchange, it is likely that the administrative burden to get individual coverage will increase and it is likely that most of us on commercial insurance will see plan premiums rise."}],"markDefs":[],"style":"normal"}]},{"_key":"0d0e0a9f3066","_type":"block","children":[{"_key":"a1894a75d317","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"372d32a08aaa","_type":"sectionHeader","headerLevel":"h2","title":"What should I do?"},{"_key":"f9899555ceac","_type":"block","children":[{"_key":"324329eea90d0","_type":"span","marks":[],"text":"Understandably, if you are covered under an ACA marketplace plan or through employer-sponsored coverage, you may be wondering how these upcoming changes could affect you."}],"markDefs":[],"style":"normal"},{"_key":"ac89f49bb805","_type":"block","children":[{"_key":"82303d56c6990","_type":"span","marks":[],"text":"First – note these changes have not yet happened. So, it is critical to continue to watch. We don’t know if / when these proposals will be finalized; however, it is likely that the Administration will strive to put them into effect by Nov 2025, when enrollment for 2026 starts."}],"markDefs":[],"style":"normal"},{"_key":"a09be8c4fc86","_type":"block","children":[{"_key":"f70daf875ea60","_type":"span","marks":[],"text":"Second – even though we don’t have full information, you can start planning now. Here are a few ways for you to stay proactive to protect your coverage and care options through Tia:"}],"markDefs":[],"style":"normal"},{"_key":"d2dcbd32f5ce","_type":"block","children":[{"_key":"13bbcbbc5d480","_type":"span","marks":[],"text":"Budget for higher premiums"}],"markDefs":[],"style":"h4"},{"_key":"66c358469ccf","_type":"block","children":[{"_key":"3438fc980c410","_type":"span","marks":[],"text":"Although the solution of “spend more money” is not ideal, the reality is that premiums under marketplace and employer-sponsored plans will likely increase. As you are choosing a (new) plan, it is important to carefully consider what features of a particular plan are most important to you and where you may be able to decrease coverage in certain areas to increase affordability. While exchange-based plans are most at risk for rising costs, as noted above, employer-based plan premiums could also rise. Again – not that it is not likely these changes will “hit” ahead of the next open enrollment cycle (especially if you are already enrolled in an annual plan), which starts in November 2025."}],"markDefs":[],"style":"normal"},{"_key":"72803d69e047","_type":"block","children":[{"_key":"b2766b39afb20","_type":"span","marks":[],"text":"Research employer-sponsored options"}],"markDefs":[],"style":"h4"},{"_key":"6c746e131df8","_type":"block","children":[{"_key":"57ae361b50470","_type":"span","marks":[],"text":"If you are not currently covered under your employer or eligible partner’s employer-sponsored plan, we recommend that you research coverage options available through those plans. If you get coverage through your employer, your Human Resources team may start to learn about adjusted costs as soon as Q2 – so you could reach out to them to start to understand coverage shifts and changes. Oftentimes, employers are able to negotiate more favorable rates and premiums due to a volume based model. Many employers offer a multitude of plans and we suggest that you carefully consider the components of each plan to ensure that you are optimizing the coverage options vs. the premiums and out of pocket costs based on your individual circumstances."}],"markDefs":[],"style":"normal"},{"_key":"d68367bc0cf0","_type":"block","children":[{"_key":"87c10ed73a910","_type":"span","marks":[],"text":"Tia’s commitment"}],"markDefs":[],"style":"h4"},{"_key":"479e25accbfc","_type":"block","children":[{"_key":"ca48151dbfbd0","_type":"span","marks":[],"text":"Tia has an unwavering commitment to providing women with the high-quality care they deserve. Full stop. We remain steadfast in our efforts to provide safe, compassionate, and comprehensive care, no matter what, including creating a safe space that enables you to show up exactly as you are. Whether in our clinics, through virtual care, or in our community, Tia is here to ensure you are seen, heard, and supported."}],"markDefs":[],"style":"normal"},{"_key":"e1ae021f9dda","_type":"block","children":[{"_key":"242ef44e01780","_type":"span","marks":[],"text":"Despite this commitment, there are realities we must accept and that we strive to build around, including:"}],"markDefs":[],"style":"normal"},{"_key":"2bd73fdda5ea","_type":"block","children":[{"_key":"953aed2c60720","_type":"span","marks":[],"text":"The noise is real and can be overwhelming, especially during uncertain and volatile times. We are committed to being a source of clarity and truth during these times and always. We hope you feel you can turn to us as you need."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f33b468905e","_type":"block","children":[{"_key":"88d3c375a92b0","_type":"span","marks":[],"text":"Care is not always covered, or fully covered, and the insurance landscape is confusing and hard to navigate (one may think this is on purpose). We strive to provide support navigating insurance coverage with our care team, and when certain visits or procedures are not covered, cost transparency."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"245226bbda0a","_type":"block","children":[{"_key":"55ce29fd02190","_type":"span","marks":[],"text":"Cost is a limiting agent to many seeking healthcare, and the lack of clarity about how much something will cost or when it will “hit” is nerve wracking. We have launched a "},{"_key":"9fbd697788aa","_type":"span","marks":["202034c79d6d"],"text":"predictable payments"},{"_key":"ceaf111407f7","_type":"span","marks":[],"text":" product to assuage these concerns."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"202034c79d6d","_type":"internalLink","linkType":"text","reference":{"_ref":"b242f2b8-a163-4b20-b47a-df2db3f5bdfa","_type":"reference"}}],"style":"normal"},{"_key":"5438101f4f6a","_type":"block","children":[{"_key":"e7bea813e7d90","_type":"span","marks":[],"text":"Thank you for your trust in Tia. We are committed to doing all we can to support our patients and our larger community through times of uncertainty - now more than ever. Please find us in clinic, virtually or through chat - if we can help you navigate any specific concerns."}],"markDefs":[],"style":"normal"},{"_key":"41a24ef406dd","_type":"cta","backgroundColor":"bccream","text":[{"_key":"c17fcaf8345d","_type":"block","children":[{"_key":"14aa515a3e7e0","_type":"span","marks":[],"text":"There is so much change for women and healthcare right now. We see this, and invite you to come as you are to receive our care. "}],"markDefs":[],"style":"large"},{"_key":"4884857c3e64","_type":"block","children":[{"_key":"f686dbc3e28d","_type":"span","marks":["em","d4a2595fa037"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."},{"_key":"7a67758c2875","_type":"span","marks":["d4a2595fa037"],"text":" "}],"markDefs":[{"_key":"d4a2595fa037","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"ce85f0c00405","_type":"buttonBlock","items":[{"_key":"57030f15d667","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Get Care","linkType":"join-scroll-shape"},{"_key":"149c2ce28b5e","_type":"singleButton","backgroundColor":"bctran","linkCta":"Member Portal","linkType":"button","url":"https://member.asktia.com"}],"onlyStackButtons":false}]},{"_key":"2aea48424bb9","_type":"block","children":[{"_key":"524f99c76984","_type":"span","marks":[],"text":"\n————"}],"markDefs":[],"style":"normal"},{"_key":"79fb70e85796","_type":"block","children":[{"_key":"ae93d7e6ceef","_type":"span","marks":[],"text":"1 - Dobbs v. Jackson Women's Health Organization, 597 U.S. 215 (2022)\n2- CAL. HEALTH & SAFETY CODE § 123468, CAL. HEALTH & SAFETY CODE § 123462, CAL. HEALTH & SAFETY CODE § 123466, CAL. HEALTH & SAFETY CODE § 123462;"}],"markDefs":[],"style":"normal"},{"_key":"1f7339a1d0eb","_type":"block","children":[{"_key":"aa81264b71c40","_type":"span","marks":[],"text":"CAL. CONST. Art. I, § 1 (Added 1974); Comm. to Defend Reprod. Rights v. Myers, 625 P.2d 779 (Cal. 1981) (striking down limits on Medicaid coverage for abortions, finding that all women possess a fundamental constitutional right to choose abortion under the California constitutional privacy provision); Am. Acad. of Pediatrics v. Lungren, 940 P.2d 797 (Cal. 1997) (invalidating parental-consent requirement)."}],"markDefs":[],"style":"normal"},{"_key":"d1c5b5bd94cd","_type":"block","children":[{"_key":"e3d94781f7160","_type":"span","marks":[],"text":"A res. to propose to the people of the State of Cal. an amend. to the Const. of the State, by adding Section 1.1 to Article I thereof, relating to fundamental rights, Sen. Const. Amend. No. 10, 2022, https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SCA10. NYTimes, California Proposition 1 Election Results: Constitutional Right to Reproductive Freedom, https://www.nytimes.com/interactive/2022/11/08/us/elections/results-california-proposition-1-constitutional-right-to-reproductive-freedom.html (Last accessed Nov. 9, 2022)."}],"markDefs":[],"style":"normal"},{"_key":"bf0846f84105","_type":"block","children":[{"_key":"77f75e4cea550","_type":"span","marks":[],"text":"3- NY Pub Health L § 2599-BB (2023)"}],"markDefs":[],"style":"normal"},{"_key":"044f9497b277","_type":"block","children":[{"_key":"039f4e31f8be","_type":"span","marks":[],"text":"4- On November 5, 2024, Arizona voters approved Proposition 139, the “Arizona Abortion Access Act.”"}],"markDefs":[],"style":"normal"},{"_key":"b2b034ccc602","_type":"block","children":[{"_key":"988b6b2e701f","_type":"span","marks":[],"text":"5- Public Law 111–148, 124 Stat. 119 (2010)."}],"markDefs":[],"style":"normal"},{"_key":"6dbcff0d98f9","_type":"block","children":[{"_key":"ffb940770d6a","_type":"span","marks":[],"text":"6- Public Law 115-97 (2017)"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-b0f58597b49d7573dd469bee3ae9ae12b7e9bd32-2800x800-png","_type":"reference"}},"publishedAt":"2025-02-18T23:24:00.000Z","slug":{"_type":"slug","current":"understanding-healthcare-policy-changes-how-to-stay-informed-and-protected"},"status":"production","title":"Healthcare Policy Changes: A Guide to Staying Informed & Protecting Your Coverage","topics":[{"_key":"1fb1602a686e","_ref":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"reference"}],"updatedAt":"2025-10-14T02:19:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Don't get caught off guard by new laws. 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Preventive care is designed to catch problems early—before they grow into something more serious or costly. Services like wellness visits, vaccinations, and screenings are vital for long-term health, and in many cases, insurance plans cover them completely."}],"markDefs":[],"style":"normal"},{"_key":"9421e6a4fa93","_type":"block","children":[{"_key":"fc925e710a640","_type":"span","marks":[],"text":"Sometimes, though, insurance rules can make things tricky. Preventive visits—like your annual wellness exam—are generally covered at no cost to you. But there are certain factors, such as the time since your last visit, your specific insurance benefits, or your healthcare provider network status that can impact this coverage."},{"_key":"369050dd894e","_type":"span","marks":["strong"],"text":" This isn’t unique to Tia; it’s how insurance companies define and process care."}],"markDefs":[],"style":"normal"},{"_key":"6a9cbf97e8b6","_type":"block","children":[{"_key":"37c16672b36f0","_type":"span","marks":[],"text":"At Tia, we’re here to bridge the gap between preventive care and the complex world of insurance, making it easier for you to access the care you need while keeping costs transparent and manageable. In this guide, we’ll explore what preventive care entails and how it’s covered by insurance. By the end, you’ll feel confident in planning your next visit, asking the right questions, and making informed decisions about your health."}],"markDefs":[],"style":"normal"},{"_key":"42827489e417","_type":"block","children":[{"_key":"e4caba382f500","_type":"span","marks":[],"text":"What Is Preventive Care?"}],"markDefs":[],"style":"h2"},{"_key":"6d58ae359d64","_type":"block","children":[{"_key":"cf4766b935f00","_type":"span","marks":[],"text":"Preventive care is the foundation of a healthy lifestyle. It focuses on catching potential health issues early through proactive measures, helping you avoid serious conditions and costly treatments. Key components of preventive care include:"}],"markDefs":[],"style":"normal"},{"_key":"d1b404756ad1","_type":"block","children":[{"_key":"2c5e6b906e4c0","_type":"span","marks":["strong"],"text":"Screenings:"},{"_key":"eac4c6437748","_type":"span","marks":[],"text":" Tests for conditions like high blood pressure, cholesterol, diabetes, and certain cancers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e8ba8d841910","_type":"block","children":[{"_key":"153c857a49fd0","_type":"span","marks":["strong"],"text":"Vaccinations: "},{"_key":"387dbc3949f5","_type":"span","marks":[],"text":"Immunizations to protect against infectious diseases, such as flu shots and childhood vaccines."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c6060c8bd48b","_type":"block","children":[{"_key":"77479df26bd80","_type":"span","marks":["strong"],"text":"Wellness Visits:"},{"_key":"0f7069fa1aed","_type":"span","marks":[],"text":" Routine check-ups where your provider assesses your overall health, offers counseling, and discusses lifestyle factors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53a7b649780f","_type":"block","children":[{"_key":"e2a90206b2440","_type":"span","marks":[],"text":"The benefits of preventive care are clear—it improves outcomes, reduces the risk of chronic illnesses, and saves money by addressing issues early."}],"markDefs":[],"style":"normal"},{"_key":"3e1d75706e82","_type":"block","children":[{"_key":"aefebec9fc780","_type":"span","marks":[],"text":"What’s Covered by Insurance? "}],"markDefs":[],"style":"h3"},{"_key":"442e62276a45","_type":"block","children":[{"_key":"aefebec9fc781","_type":"span","marks":[],"text":"Most in-network insurance plans cover many preventive services at 100%, including:"}],"markDefs":[],"style":"normal"},{"_key":"36c63c1fe66c","_type":"block","children":[{"_key":"b6566482fb7d0","_type":"span","marks":[],"text":"Annual well-woman exams"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c437a75b62a","_type":"block","children":[{"_key":"0a3a65d884270","_type":"span","marks":[],"text":"Cervical cancer screenings (pap smears)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ffe47ecccf38","_type":"block","children":[{"_key":"0d65ca4beb3b0","_type":"span","marks":[],"text":"Blood pressure, diabetes, and cholesterol tests"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"51d2f4be85a6","_type":"block","children":[{"_key":"3a68197deb7e0","_type":"span","marks":[],"text":"STI screenings"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fd4b53afec4f","_type":"block","children":[{"_key":"d99d94ceb0ff0","_type":"span","marks":[],"text":"Immunizations"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d7095e4c996","_type":"block","children":[{"_key":"b544eb84beed0","_type":"span","marks":[],"text":"However, not all plans are created equal. For example, some may cover Vitamin D testing or nutritional counseling as preventive, while others do not. To avoid surprises, it’s important to confirm your coverage directly with your insurance provider."}],"markDefs":[],"style":"normal"},{"_key":"c54572480f28","_type":"block","children":[{"_key":"c4f2fae4696a0","_type":"span","marks":[],"text":"Where Things Can Get Complicated…"}],"markDefs":[],"style":"h2"},{"_key":"aeba902323fe","_type":"block","children":[{"_key":"e723f37d5d0d0","_type":"span","marks":[],"text":"The line between preventive and diagnostic care can be blurry. Preventive visits are routine check-ups aimed at maintaining health, while diagnostic visits focus on addressing specific symptoms or concerns. Just because you are receiving care for preventive purposes unfortunately doesn’t mean your insurance will consider the visit to be preventive. Understanding this distinction is crucial to avoid unexpected bills."}],"markDefs":[],"style":"normal"},{"_key":"5bb00bf5be4c","_type":"block","children":[{"_key":"1defced9d7ec0","_type":"span","marks":[],"text":"Diagnostic Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"7c5618d86cbb","_type":"block","children":[{"_key":"f7a16ef0e82e0","_type":"span","marks":[],"text":"You schedule a preventive wellness visit, which is fully covered by your insurance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5872aaf750d","_type":"block","children":[{"_key":"36af64e53dd40","_type":"span","marks":[],"text":"During the visit, you mention experiencing frequent migraines."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ff732ef7a4e","_type":"block","children":[{"_key":"0c6da19aafe90","_type":"span","marks":[],"text":"Your provider evaluates the migraines, possibly prescribes medication, and orders tests."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"59e471d63afe","_type":"block","children":[{"_key":"cc0a064d1b9f0","_type":"span","marks":[],"text":"In this case, the visit shifts from preventive to diagnostic, meaning you could be responsible for a copay or coinsurance, depending on your plan."}],"markDefs":[],"style":"normal"},{"_key":"01cddea41e0d","_type":"block","children":[{"_key":"140ab4ebbff60","_type":"span","marks":[],"text":"“Not Preventive” Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"7974e3a6682d","_type":"block","children":[{"_key":"908c60616d870","_type":"span","marks":[],"text":"You schedule a preventive wellness visit, which is fully covered by your insurance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68491a0a69e7","_type":"block","children":[{"_key":"342646a7334a0","_type":"span","marks":[],"text":"During the visit, your provider states they want to order an ultrasound for your PCOS to confirm your current health status."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0fc0ef02fb7","_type":"block","children":[{"_key":"d1f2caaa609f0","_type":"span","marks":[],"text":"In this case, while the ultrasound was done for preventive reasons, insurance does not consider this service to be preventive based on criteria from the Affordable Care Act."}],"markDefs":[],"style":"normal"},{"_key":"59291f8c8966","_type":"block","children":[{"_key":"1ffa7f9aec220","_type":"span","marks":[],"text":"Timing Issue Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"e9690be2c8ff","_type":"block","children":[{"_key":"00718c3d9a9b0","_type":"span","marks":[],"text":"You schedule a preventive wellness visit for January 15, 2025, but your last preventive exam was February 28, 2024"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9da0f3032b3f","_type":"block","children":[{"_key":"2ba270a8ae4e0","_type":"span","marks":[],"text":"Your visit is fully preventive with your regular annual physical checkup and screenings."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a398f42bafa5","_type":"block","children":[{"_key":"dc7ba7584fcb0","_type":"span","marks":[],"text":"In this case, while your visit was truly preventive with no diagnostic issues and you only had “preventive” services completed, your insurance denied your appointment because it hadn’t been 365 days since your last annual preventive exam, resulting in a bill."}],"markDefs":[],"style":"normal"},{"_key":"986ba5e631f4","_type":"block","children":[{"_key":"b5fc383bba8f0","_type":"span","marks":[],"text":"Actionable Tips for Maximizing Your Benefits"}],"markDefs":[],"style":"h2"},{"_key":"6a6efcea64f7","_type":"block","children":[{"_key":"e5a27aab50830","_type":"span","marks":[],"text":"Before your next visit, take these steps to ensure a smooth experience:"}],"markDefs":[],"style":"normal"},{"_key":"15adee66eab4","_type":"block","children":[{"_key":"c0774f8142420","_type":"span","marks":["strong"],"text":"Call Your Insurance Provider"},{"_key":"c0774f8142421","_type":"span","marks":[],"text":": Ask what preventive services are covered, how often, and if there are any restrictions."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"68d1f024f2f2","_type":"block","children":[{"_key":"abe0820dc9630","_type":"span","marks":["strong"],"text":"Prepare for Your Appointment"},{"_key":"abe0820dc9631","_type":"span","marks":[],"text":": Use Tia’s "},{"_key":"abe0820dc9632","_type":"span","marks":["strong"],"text":"Preventive Insurance Checklist"},{"_key":"abe0820dc9633","_type":"span","marks":[],"text":" to guide your conversation with your insurer."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"5f5f041ead06","_type":"block","children":[{"_key":"cc6f617ba1cd0","_type":"span","marks":["strong"],"text":"Understand Billing Scenarios"},{"_key":"cc6f617ba1cd1","_type":"span","marks":[],"text":": Know what might trigger a shift from preventive to diagnostic care."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"46579155e1a8","_type":"block","children":[{"_key":"845ac7ec9b530","_type":"span","marks":[],"text":"Preventive Insurance Checklist:"}],"markDefs":[],"style":"h3"},{"_key":"23ceea76df29","_type":"block","children":[{"_key":"b8d75439b9ea0","_type":"span","marks":[],"text":"Does my insurance plan cover preventive care at 100%?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5b3677187647","_type":"block","children":[{"_key":"521e61c4c97d0","_type":"span","marks":[],"text":"What preventive services are covered under my 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Care"}],"markDefs":[],"style":"h2"},{"_key":"788744b69045","_type":"block","children":[{"_key":"5ce59bb7ae8d0","_type":"span","marks":[],"text":"Preventive care is about more than avoiding illness—it’s an investment in your overall well-being. At Tia, we’re here to support you with personalized care, transparent costs, and guidance to help you navigate the complexities of insurance."}],"markDefs":[],"style":"normal"},{"_key":"860e6b9a0094","_type":"block","children":[{"_key":"f5acae0e05ee0","_type":"span","marks":[],"text":"Take charge of your health today by scheduling your next preventive visit. If you have questions about your benefits or costs, reach out to Tia’s care team—we’re here to help every step of the way."}],"markDefs":[],"style":"normal"},{"_key":"aced0b748c89","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"c85e3504a604","_type":"block","children":[{"_key":"d9c764ed3de7","_type":"span","marks":[],"text":"Ready to engage in preventive care? Join Tia and schedule an appointment to get started at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"b45fc719a66a","_type":"block","children":[{"_key":"07df7136844b","_type":"span","marks":["em","2d17c67529f2"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."},{"_key":"b7024b12af6d","_type":"span","marks":["2d17c67529f2"],"text":" "}],"markDefs":[{"_key":"2d17c67529f2","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"6b40478a96f9","_type":"buttonBlock","items":[{"_key":"b71e5a190a2f","_type":"singleButton","linkCta":"Book appointment","linkType":"button","reference":{"_ref":"05c3c462-1aee-4ec5-b586-eb1c603f1444","_type":"reference"}}],"onlyStackButtons":false}]}],"image":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"publishedAt":"2025-02-20T20:41:00.000Z","slug":{"_type":"slug","current":"your-guide-to-preventive-care-and-insurance-costs"},"status":"production","title":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank","topics":[{"_key":"82b5f5cf7967","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","noIndex":false,"openImage":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"title":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank","twitterImage":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"twitterTitle":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank"}},"id":"68286162-cbb1-55e5-8794-9648d73e3d16","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"d66609acf703ac053dcc1954812c1da6","counter":257,"owner":"gatsby-source-sanity"}}],"backgroundColor":"bcb","spacing":"pys","title":"Helpful Resources Related to Insurance"},{"_key":"5d355767e258","_type":"shape","backgroundColor":"secondary-1","shapeColor":"tertiary-3","shapeType":"shape-1"},{"_key":"a18627e098ce","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"122fc5fb9661","_type":"faqModule","faqs":[{"_id":"0d664388-a42d-4f20-8e60-3911c6a8c79b","_type":"faq","_createdAt":"2020-08-30T03:43:46Z","_rev":"52GT6vs3TvNTSBmHVAfgNl","_system":{"base":{"id":"0d664388-a42d-4f20-8e60-3911c6a8c79b","rev":"RdixGn6lpDGH89K9LFGi20"}},"_updatedAt":"2026-09-17T19:46:18Z","answer":[{"_key":"5b220ee24edc","_type":"block","children":[{"_key":"5b220ee24edc0","_type":"span","marks":[],"text":"To check if your plan works with Tia, go to our "},{"_key":"e561747950dc","_type":"span","marks":["c6d34487e212"],"text":"Join Page"},{"_key":"296d10295564","_type":"span","marks":[],"text":". Once you enter your information on in Step 1, you’ll be able to check if Tia takes your plan in Step 2. Don’t worry, this will not commit you to a membership (that happens in the later steps). "}],"markDefs":[{"_key":"c6d34487e212","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}],"question":"How do I know if you take my insurance plan?","id":"1894de72-42a3-5558-a08e-fe67b0b9304a","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"49190864cf21084a924279e4fc8d2ecd","counter":2810,"owner":"gatsby-source-sanity"}},{"_id":"98fab06a-1a72-409e-8b4d-4e2aef838df1","_type":"faq","_createdAt":"2020-08-20T17:29:09Z","_rev":"5v2fYejXVmIxCw725fbO38","_system":{"base":{"id":"98fab06a-1a72-409e-8b4d-4e2aef838df1","rev":"uBZyzL1oEJWqYeY7paHABE"}},"_updatedAt":"2026-09-17T19:43:33Z","answer":[{"_key":"162907c09157","_type":"block","children":[{"_key":"162907c091570","_type":"span","marks":[],"text":"Yes! You can join Tia with or without insurance. If you do not have insurance, you can pay cash for services. However, we cannot accept members with Medicaid or Medicaid managed plans as we are not in-network with Medicaid. 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