With the Nov. 1 sign up for the Affordable Care Act marketplace fast approaching, consumers are being urged to look carefully at the offered plans as some options have changed from last year. In Texas, which leads the nation in the number of uninsured and where about a third of those eligible for marketplace policies have not signed up, it is especially important to be diligent, local health policy watchers say. Scott & White Health Plan, for example, has asked for a 32.4 percent increase on average in its individual silver plan and a 31 percent increase in its bronze plan; Humana proposed raising one of its individual plans by 29.73 percent; and Blue Cross Blue Shield of Texas has asked for which for a 19.97 percent hike for its Blue Advantage HMO individual plan. Consumers should contact their health insurance company now to see if there premium will change in 2016. If they don't contact their health-care providers, consumers may have to pay a high out-of-pocket cost for doctor's appointments, procedures or prescription medications.