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Save some money during open enrollment

Jill on Money

It’s open enrollment season for health and retirement plans, and if you are like a lot of people, you will default to the choices from last year. That’s a shame, because spending some time investigating your options can help you save money.

For the 151 million Americans who participate in employer-sponsored health insurance plans, there is some good news: The pace of premium increases is slowing. But, unfortunately, a worker’s average contribution to family premiums has increased more rapidly than the employer’s share since 2012.

To help defray costs, participants need to compare plans and choose wisely. Your employer may offer a high-deductible health plan. (To qualify for that designation, the deductible must be at least $1,350 for singles and $2,700 for a family.) If you choose such a plan, consider opening a health savings account, which can help pay for the higher deductibles with great tax advantages.

HSA contributions are either pre-tax or tax-deductible. Earnings and interest are tax-free, withdrawals for qualified medical expenses are tax-free and you can roll over your contributions year after year, regardless of where you are working. Once you reach age 65, all non-medical withdrawals are taxed at your current tax rate.

In 2018, you can save as much as $3,450 for an individual or $6,900 for a family in an HSA. There is also a catch-up contribution of $1,000 available for those over age 55.

If you are not able to use an HSA, flexible spending accounts remain a good option. Individuals can set aside $2,650 in pre-tax dollars to cover out-of-pocket expenses. Check if your employer allows you to carry more than $500 from one plan year to the next; if not, FSA money is use-it-or-lose-it for the plan year.

The annual open enrollment period for Medicare has started and runs through Dec. 7. While the best way to control health care costs is to choose coverage carefully, only about 10 percent of Medicare recipients voluntarily change plans.

You can switch from original Medicare to Medicare Advantage, the managed-care alternative to fee-for-service coverage. But if you do, make sure that your doctors are in the network and understand the deductible, out-of-pocket limits and the drug choices.

For the Part D medication plan, check out Medicare.gov/find-a-plan to compare coverage options. The tool allows you to input your drugs, search for plans in your area and compare total annual costs, including premiums, deductibles and drug co-pays. If you don’t request a change, your coverage will be automatically renewed.

On the retirement saving front, workers can stash away more money in their retirement plans. The IRS announced participants in 401(k), 403(b), 457 and federal Thrift Savings plans can make a maximum contribution of $18,500, up $500 from this year. Catch-up contributions for employees age 50 and over are still $6,000. These amounts do not include employer matches.

If your plan provider allows for automatic escalation, choose it. By doing so, you can make sure that you are increasing your contribution level each year.

For those who use IRAs and Roth IRAs, the news was not as good: The contribution limits remained flat at $5,500, with catch-up contributions of $1,000. But, for those who use IRAs in addition to workplace plans, the income ranges for deductibility increased slightly, as did the income range for use of a Roth.

Jill Schlesinger, CFP, is a CBS news business analyst. She welcomes comments and questions at askjill@moneywatch.com.

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