EBRI Fast Facts
Provider Networks and Out-of-Pocket Costs Drive Health Plan Choice
Summary
Choosing a health plan remains one of the most important decisions consumers make during open enrollment. This
Fast Fact
examines
the factors that matter most when privately
insured adults select coverage, finding that provider networks are the
top consideration, followed by out-of-pocket
costs and premiums. Drawing on data from the
2025 Consumer Engagement in Health Care Survey, the research also
highlights differences between traditional
plan and high-deductible health plan
enrollees. For employers, benefits professionals and others tracking
health benefit trends, the findings provide valuable
insight into how consumers are navigating
their health plan choices.