After seeing my payments (wife and me, no chillerin's) go from $250 to over $400, I started to look around and found the HSA (Health Savings Accnt) to be a no brainer. Basically it's a high deductible health plan (HDHP) with a savings accnt. We are both healthy so why pay over $4800/year for about $500 in benefits? With an HSA (or MSA) you can put money into a savings account every month, if you go to the doctor-you pay. But its all deductible and the money you put in comes right off your income...just like a 401K. Plus the money accrues, if you don't spend it, its yours when you turn 65. You are really acting as your own insurer for the little stuff, but you have a HDHP for the big events (cancer, heart attack etc..) Oh yeah, even if you don't have income you can contribute to an HSA. I got mine thru Golden Rule.