What is a Claim? A claim is essentially a bill that is submitted to insurance. Once this amount has been met, your insurance plan will pay for all covered health services for the remainder of the year. Non-covered services are not considered in the out-of-pocket maximum. This includes copays, deductible, and coinsurance payments you make. What is an Out-of-Pocket Maximum? This is the most you will pay for covered health services during the year. For example, Once you meet your deductible, insurance may only cover 80% of covered services and the member's responsibility is for the remaining 20% of the bill. What is Coinsurance? One you meet your deductible, you may be responsible for a portion of the covered health care cost. What is a Deductible? A deductible is the amount you have you have to pay each year before your insurance plan will start paying for medical costs. What is a Copayment (Often referred to as your Copay)? A copay is a set dollar amount you may have to pay for certain covered health services. What is a Premium? Your premium is the amount you (or your employer) pays in order for you to have health insurance. Here at Rocky mountain Family Physicians we want our patients to be informed and we are here to help if you have any questions along the way! For a quick reference, please see below for a list of common lingo used in healthcare. We understand navigating the medical world can often be confusing. We highly suggest reaching out to your insurance to verify we are in-network with your specific plan. Our providers currently accept Medicare, Tricare West, and are contracted with most commercial insurance companies.
It is incredibly important that we bill insurance in a timely manner so please make sure you bring your current insurance to each appointment. We will bill insurance as a courtesy to our patients.
0 kommentar(er)
