Should I pick an HDHP with an HSA or a PPO at open enrollment?

Choose based on how much care you expect and whether you value the HSA's triple tax break. A high-deductible health plan (HDHP) has lower premiums but you pay more out of pocket before coverage kicks in; in exchange it unlocks a Health Savings Account, where contributions are pre-tax, growth is tax-free, and qualified withdrawals are tax-free. In 2025 you can contribute $4,300 self-only or $8,550 family, plus $1,000 if you're 55+. A PPO costs more per paycheck but lowers your exposure when you actually use care. Run the math: add a year of premiums to your expected out-of-pocket costs under each plan, then subtract the HSA tax savings from the HDHP. If you're healthy, can cover the deductible from savings, and want a stealth retirement account, the HDHP usually wins. Heavy, predictable medical use often favors the PPO.