Originally posted by EladarJust to clear the air, the deductible in most policies is the aggregate of co-pays before the policy pays the full amount of procedures.
How much are you going to be stuck for before the insurance that you pay for kicks in? In other words, what is your deductible?
Originally posted by normbenignThat's not how this link explains it:
Just to clear the air, the deductible in most policies is the aggregate of co-pays before the policy pays the full amount of procedures.
For example, your deductible is $10k. If you have a major surgery, and the copay is $10k, once you pay that copay, your deductible is satisfied. Then there are no more co-pays until the following policy period, usua ...[text shortened]... ly. The deductible amount can usually be settled by any combination of co-pays or a single one.
Originally posted by EladarNot true. Medicare is 80/20. It pays its 80% from the start. My BCBS Medicare supplement has a deductible which is satisfied cumulatively by my co-pays, for example $15 to see my primary care doctor, or $45 to see a referred specialist. Co-pays on prescription drugs, also accumulate to satisfy deductibles.
That's not how this link explains it:
[b]Your deductible is the amount of your medical costs that you have to pay before your health insurance takes over. Here's an example. Gary has a health plan with a $1500 deductible. If Gary only has a few little things go wrong during the year that c ...[text shortened]... the insurance company isn't going to start paying out it's 80% until you've met your deductible.
Originally posted by smw6869Best advise is to read your contract, and ask the agent. Of course asking the exchanges for truthful info is pretty hopeless.
The deductible is what you pay out of pocket BEFORE the insurance starts to pay. In some cases, such as an HMO, there IS no deductible and the cost is shared by both the patient and the insurance company from day 1. So the patient has a co-pay right away but it's less than the cost of service. If the patient reaches the maximum out of pocket, the insurance p ...[text shortened]... there is a lifetime max in which case the patient has no more insurance. Just sayin'.
Originally posted by caissad4Look at the bright side, at least you are not a veteran.
In my previous thread about the ACA I was unsuccessful in obtaining even a garbage health insurance policy. I was unable to complete the process due to numerous problems with the website and phone issues.
But wait !!
Today I received a packet from Humana telling me that I indeed have one of their truly garbage healthcare policies even though I NEVER compl ...[text shortened]... dly they didn't send me an actual insurance card.
Big Brother must be watching out for me, lol.
Originally posted by caissad4So you get to make payments to an insurance company so that after you rack up 5k in bills you can start getting covered.
Originally posted by caissad4Have you spoken to an agent of your carrier (wasn't it Humana?). That should be much easier than dealing with the exchanges. I still say that you will have coverage subject to co-pays which accumulate to make up your $4850 deductible. Once the deductible is satisfied, everything is covered. This is the standard policy provisions of most health policies and has been for decades. Don't listen to me or anyone else here. Talk to the Humana representative and get the facts.
Originally posted by Krod MandoonMost veterans I know say the same, as long as it is fairly routine stuff. Apparently there are still glitches in the system, especially involving intensive care, and life threatening conditions.
What's wrong with the VA?
I use it and think it's great.
Originally posted by normbenignFortunately I've only had to deal with the yearly physicals, service is always great though, no waiting, I'm always called in at the appointment time, there's no charge for office visits, lab work or xrays,all prescriptions are 9 dollars a month regardless of what they cost on the outside, and if you do need to stay in the hospital or have surgery the cost is minimal. There's an emergency treatment office for walk-ins if you can't wait for an appointment, I did use it twice and was seen immediately.
Most veterans I know say the same, as long as it is fairly routine stuff. Apparently there are still glitches in the system, especially involving intensive care, and life threatening conditions.