An Arm and a Leg

An Arm and a Leg


How to pick health insurance — in the worst year ever

November 20, 2025

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It’s probably fair to say: this is the worst year ever for picking health insurance. Premiums are skyrocketing – whether you get insurance through work or from the Obamacare marketplace. 

And with enhanced subsidies almost definitely expiring, millions of people with Obamacare plans are grappling with drastic changes to their household budgets. 

We’re our own case study: You’ll hear us sorting through our own options. None of them are pretty, but because we know how to read the fine print, we figured out: Some are way, way less awful than others. 

And to help you do the same: We’ve boiled down our fine-print-reading expertise in this starter pack on how to pick insurance

Also in this episode: we talk with a listener who wonders: is paying for health insurance even worth it at this point? (Her ultimate answer: Yes, but argh.)

Read Julie Appleby’s reporting for KFF Health News about what could happen if Congress changes course and extends the subsidies. 

Here’s a transcript of this episode

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