How to Choose a Medical Plan

A plain-language decision guide with real-life examples to help Ten Key employees find the medical plan that fits their health needs and budget.

🤔

How to Choose a Medical Plan

There's no single "best" plan — the right choice depends on your health needs, budget, and how you prefer to manage costs. Here's a simple guide to help you decide.

💡 Key insight: A lower monthly paycheck deduction doesn't always mean lower total cost. If you use a lot of healthcare, a plan with a higher premium but lower deductible may save you money overall.

Which Plan Might Be Right for You?

🏥 PPO Classic — Consider this if you...

  • Visit the doctor frequently (more than 4–5 times per year)
  • Take multiple prescription medications regularly
  • Have a planned surgery or procedure coming up
  • Have young children who need regular pediatric care
  • Prefer predictable copays over percentage-based costs
  • Are managing a chronic condition like diabetes or asthma

Example: Maria has two kids and visits the pediatrician 6+ times a year. With the PPO's $25 copay per visit, she pays $150 total. On the HDHP Standard, those same visits would cost her the full negotiated rate until she hits her deductible — potentially $400+.

⭐ HDHP Gold — Consider this if you...

  • Want to save money in an HSA for future healthcare costs
  • Are generally healthy but want protection against big bills
  • Want a middle ground between premium savings and deductible risk
  • Are interested in investing your HSA for retirement healthcare
  • Use telehealth frequently (it's $0 on all plans)

Example: James is 34 and healthy. He saves $50/month vs. the PPO Classic. Ten Key adds $750 to his HSA. He contributes another $1,500. By year-end, he has $2,250 in his HSA — more than enough to cover his deductible if something unexpected happens.

💛 HDHP Standard — Consider this if you...

  • Rarely visit the doctor (1–2 times per year or less)
  • Are young and in excellent health
  • Want to maximize your take-home pay each paycheck
  • Can comfortably cover a higher deductible if needed
  • Want to aggressively build your HSA balance over time

Example: Priya is 27 and only sees a doctor for her annual physical (which is free on all plans). She saves $86/month vs. the PPO Classic ($1,032/year). Even if she has one unexpected urgent care visit, she's still ahead financially.

Quick Decision Checklist

Answer these questions to guide your choice:

✅ How many times did I visit a doctor last year?
✅ Do I take any regular prescription medications?
✅ Do I have any planned medical procedures in 2027?
✅ Could I cover a $2,800 deductible if I had an emergency?
✅ Am I interested in saving pre-tax money in an HSA?
]]>