Health insurance question?!


Question: What doesn't it mean when it says 30% coinsurance after deductible?


Answers: What doesn't it mean when it says 30% coinsurance after deductible?

It means that you must pay your deductible out of pocket each calendar year before benefits kick in, and then they they kick in at 70%, leaving you to pay the remaining 30%. So if you have a $500.00 deductible, you have to pay the first $500.00 of medical bills in a calendar year out of your own pocket. After that, they will pay 70% of any more bills that calendar year, and you pay the 30% remainder. Then it starts all over again at the beginning of each new year, with you having to meet the first $500.00 in bills out of pocket before they pay anything.

Some insurance companies also have a co-pay, where you pay a flat-fee for office visits, and those do not apply to the deductible. Only excess things apply to the deductible when you have a co-pay - like any lab work or x-rays or such that are done outside of the regular office visit. For instance, the flat-fee office visit charge would pay for you to have the blood drawn in the doctor's office, but when the doctor sends it to the lab for testing, you would have to pay the lab's bill in full to go toward the yearly deductible - or pay 30% of it if your deductible had already been met that year.

it means after you pay the deductible amount which can very...ie. 250.00, 500.00 whatever it maybe, then you or if u have a 2nd insurance are responsible for 30% of the bill.





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