So the last decision, which I haven't made yet, is whether to trust BCBSNC not to hose me on stacked deductibles, or to just get two separate policies (by putting myself and DW into two different "health plan groups for your household"). The upside of separate policies is that the insurance company can't possible wrangle not paying if the single person max out of pocket is reached. The downside is that if one of us does hit double the max out of pocket, the other one doesn't get "free healthcare" for the rest of the year. The two options are exactly the same unless one of us spends over $13,100, which is the point where the other spouse would get free healthcare. I understood (last year), that they outlawed that aggregate deductible shell game, but I like the idea of isolating myself from any possibility of that.