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Each insurance company offers a myriad of different policies, and they change a little bit every year.

Brokers will educate you on specific plan mechanics but will avoid explicit recommendations because they don’t want to take blame for choosing the “wrong plans” for a company.

Each plan is optimized for specific scenarios, e.g. young person with no medical risks or chronic conditions, middle aged person with chronic conditions and established doctor affiliations, so on and so forth. But they aren’t explicitly labeled that way, so people have to figure out what makes sense for them.

If you’re an employer who cares a lot about this process, you basically need to mind read the healthcare needs of each of your employees and offer a menu of options that satisfies their needs, while trying to avoid offering options that nobody should rationally choose.

If you know nothing about health insurance it makes the whole process much harder.

Source: worked in American health insurance for years.



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