The IRS Deductions Blog

Posts Tagged ‘difference copay deductible’

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

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