The IRS Deductions Blog

Posts Tagged ‘copay deductible coinsurance’

Question: Debating on 2 different health insurance–HELPPPPP!!!?

I’m working 2 jobs, a ft & a pt. I need help deciding which health insurance to pick. One thing to keep in mind– I am currently pregnant (11 weeks), so need the BEST coverage recommendation.

*first health benefit-full time job: (single only)
-$28.16 weekly cost
-Deductible=$1300
-70% after deductible
-$30 copay then 100%
-$1,000,000 life time maximum benefit– (i have no clue what that is)
*in this plan, there is a choice of ppo & non ppo.. what is the difference??

*second health benefit part time- (single)
+option 1
-$50 weekly cost
-Deductible = $250
-90% to $10,000 coinsurance
-$30 copay then 100%
-2,000,000 life time maximum

+option 2
-$43.00 weekly cost
-500 Deductible
-90% to $10,000 coinsurance
-30 copay then 100%
-same 2,000,000 life time maximum.

+option 3
-35.00 weekly cost
-1000 deductible
-80% to $10,000 coinsurance
-30 copay then 100%

I don’t know which insurance option i should go with.. i don’t want to be cheap..

Answer: You should probably choose this one:
*second health benefit part time- (single)
+option 1
-$50 weekly cost
-Deductible = $250
-90% to $10,000 coinsurance
-$30 copay then 100%
-2,000,000 life time maximum

*It has the best benefits, but costs a bit more per month.

Items on Amazon Right Now for Copay Deductible Coinsurance:

The Basics Of Medical Billing $27.00 This no nonsense book tells you all you need to know to understand medical billing. Written by a mother/daughter team who have been running a medical billing service since 1994 it contains the facts without the fluff. Revised in June 2010 to almost double the content. It contains information about primary, secondary and tertiary claims, participation with insurance carriers, indemnity, hmos, pp…

Copays, Co-Insurance and Deductibles

Question: Do You Have To Pay The Whole Bill Before You Can Be Reimbursed?

OK, im talking about pet insurance. Do u have to pay the whole bill first or can u just pay part of the bill plus ur copay and deductible? Thanks.
The insurance is from PurinaCare. Also anybody that has this insurance on their pets, what do u think of the insurance? Is the price worth it or do u have a better place that i can get pet insurance from?

Answer: The way that pet insurance works, is that you ALWAYS PAY THE BILL, then submit to the insurance for reimbursement. The insurance will then reimburse based on your deductible and co-pays.

I doubt that any Vet would let you pay only your deductible and co-pay and then bill the insurance company, since that would not make a lot of sense.

http://www.purinacare.com/plan_overview.aspx

this is a link to purina care health plans. You might want to keep and save for future use in case you misplaced your policy.

http://petinsurancereview.com/

this is a link of comparing purina vs many other pet insurance companies that you might want to review.

I originally was going to get pet insurance for my golden retriever, but now that he has had 1 seizure, would preclude or make it too expensive to buy or be pre-existing and not covered.

But here is one of the major problems I encountered or read about. Many of the companies have what they call “usual and customary charges”, which is the same thing that health insurance does on people, but the difference is that in health insurance, most health insurance have a “negotiated contract” with the doctor so the charges are agreed to in advance.

Some people in this site complained that the “usual and customary charges’ they deemed were amounts that Vets have not charged in 10 years or more, thus even after you pay your deductible and co-pays, could be out of pocket for charges they deemed more than “usual and customary”. Pet insurance does not have “negotiated contracts” with Vets or Vet Hospitals.

So as an example you go to the Vet for the dog to be neutered. The Vet charges you $500. You have a deductible of $250 plus 80% copay, which means you would owe $250 deductible and 20% of $500 or addtl $100 and you think they will reimburse you $150 the balance. But say they believe the “usual and customary charges” should be $300, then you pay $250 deductible plus 20 % $60, which now totals $310, so they pay nothing.

Look at the site and read the reviews of pros/cons and then decide if this is good or not.

good luck

Items on Amazon Right Now for Copay Deductible:

The Basics Of Medical Billing $27.00 This no nonsense book tells you all you need to know to understand medical billing. Written by a mother/daughter team who have been running a medical billing service since 1994 it contains the facts without the fluff. Revised in June 2010 to almost double the content. It contains information about primary, secondary and tertiary claims, participation with insurance carriers, indemnity, hmos, pp…

The Profit Trap: Secrets the Health Insurance Industry Doesn’t Want You to Know (First in a Series) Healthcare reform or not! If you buy, change, cancel or own health insurance of any kind (public, private or group) in your lifetime you better have this book first. America has been kept uneducated on purpose about how healthcare and health insurance really works for decades. Gain control over your quality, access and costs of your healthcare once and for all. Never be taken advantage of again by…

New Regulations for Preventive Benefits

Rules set to go into effect this fall mandate coverage of mammograms and more. Mammography – Insurance – Health – Medicine – Imaging

Deductibles and Coinsurances

Question: What does deductible mean when you try to get health insurance?

it says plan type : PPO. Deductible. 2,500. Coinsurance 20%. Office Visit. $30. Monthly Premium. $60..what does all that mean??

Answer: With insurance, a deductible is what you will pay should something happen, the remainder being paid by insurance. If a procedure costs less than the deductible, then you’re paying the entire cost yourself.

Items on Amazon Right Now for Deductible Coinsurance:

The Basics Of Medical Billing $27.00 This no nonsense book tells you all you need to know to understand medical billing. Written by a mother/daughter team who have been running a medical billing service since 1994 it contains the facts without the fluff. Revised in June 2010 to almost double the content. It contains information about primary, secondary and tertiary claims, participation with insurance carriers, indemnity, hmos, pp…

Cost-Sharing and the Demand for Ambulatory Mental Health Services (Rand Report) $15.00 …

Demand for Supplementary Health Insurance (Rand Report) $4.00 …

New West Physicians Join Averde Health’s Network in Metro-Denver

New West Physicians, a large physician group in Metro Denver, announced today that it is joining Averde Health’s expanding provider network in Colorado.

Mental Health Parity and Addiction Equity Act of 2008