Dr bill and vigour insurance deductible?
My deductible is 300.00 I went to the hospital and my bill is 1500.00 my insurance says they foot 80% after the 300 deducitble. So will they pay 80 % of 1200. I am a little confused. Thanks.
Answers: You are correct. In this suitcase your share of the charges will be the $300 deductible plus $240 (20% of $1200) coinsurance for a total of $540.
Most policies have a yearly deductible, however, some will hold a per occurance deductible. Also, most policy will have a maximum out of pocket amount to the coinsurance.
Yes-your understanding is accurate, but if you own a PPO or HMO, and you went to a participating hospital,what your insurance company will pay will be base on a contracted (discounted) amount and not the actual charges. So wait until your insurance considers the bill and check your Explanantion of Benefits from your insurance with what the hospital in actuality bills you. Make sure that the hospital bills you for what the insurance says you owe. It will definately be less than $540. Yes, it is the BEGINNING of the calendar year and you haven't met your deductible even so, no doubt.
So first you meet the $300.00 amount. Once you congregate that amount, THEN the insurance kicks in.
That's where on earth the 80/20 comes in from your policy. They will now take-home pay this from now on. And then the Doctors call in is either a co-pay amount or a set amount you pay too from very soon on.
But for the REST OF THE YEAR, you will not have to pay the $ 300.00 again on anything, the 80/20 will automatically switch on on everything. Then again next year in the formation, whenever anything happens you START all over again.
You can christen on the phone to a customer rep and they will kindly explain it to you too. It won't be embarassing. I had to enjoy it explained to me too :)
You think that's bad? We hold a $5,000.00 deductabel because neither of us ever got sick. Then all of the sudden I get cancer. And I can't change my policy because I'm sick. And no one else will insure me because I do hold Cancer! So I'm stuck with the insurance I have very soon for forever. But thank heavens it's Blue Cross is all I can say. So I hold to first meet that every year before my insurance kick in. That's the pits.
Hope this helped you a bit to grasp. Insurance is always a hard point to understand, isn't it? Always something they find a loop hole to get out of something somehow sometimes.
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Answers: You are correct. In this suitcase your share of the charges will be the $300 deductible plus $240 (20% of $1200) coinsurance for a total of $540.
Most policies have a yearly deductible, however, some will hold a per occurance deductible. Also, most policy will have a maximum out of pocket amount to the coinsurance.
Yes-your understanding is accurate, but if you own a PPO or HMO, and you went to a participating hospital,what your insurance company will pay will be base on a contracted (discounted) amount and not the actual charges. So wait until your insurance considers the bill and check your Explanantion of Benefits from your insurance with what the hospital in actuality bills you. Make sure that the hospital bills you for what the insurance says you owe. It will definately be less than $540. Yes, it is the BEGINNING of the calendar year and you haven't met your deductible even so, no doubt.
So first you meet the $300.00 amount. Once you congregate that amount, THEN the insurance kicks in.
That's where on earth the 80/20 comes in from your policy. They will now take-home pay this from now on. And then the Doctors call in is either a co-pay amount or a set amount you pay too from very soon on.
But for the REST OF THE YEAR, you will not have to pay the $ 300.00 again on anything, the 80/20 will automatically switch on on everything. Then again next year in the formation, whenever anything happens you START all over again.
You can christen on the phone to a customer rep and they will kindly explain it to you too. It won't be embarassing. I had to enjoy it explained to me too :)
You think that's bad? We hold a $5,000.00 deductabel because neither of us ever got sick. Then all of the sudden I get cancer. And I can't change my policy because I'm sick. And no one else will insure me because I do hold Cancer! So I'm stuck with the insurance I have very soon for forever. But thank heavens it's Blue Cross is all I can say. So I hold to first meet that every year before my insurance kick in. That's the pits.
Hope this helped you a bit to grasp. Insurance is always a hard point to understand, isn't it? Always something they find a loop hole to get out of something somehow sometimes.