The IRS Deductions Blog

Posts Tagged ‘learning’

Question: What does “not subject to deductible mean” in an insurance plan?

The following is stated in an insurance plan that I am considering applying for. I don’t understand what the not subject to part means.

Periodic Health Exam
20% Coinsurance only. Routine physical exams, immunizations, and lab and x-ray NOT subject to deductible or frequency/age limits.

Answer: ~~It means you will only pay 20% of the contracted rate for routine physical exams, immunizations, lab and x-ray and they will pay 80%. Your deductible will be waived for these type of services. Sounds like an excellent plan!~~

Items on Amazon Right Now for Coinsurance And Deductibles:

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 …

The Costs Creeping Into Property and Liability Policies

Think the commercial property and liability insurance market is competitive? It might not be if you’re paying these hidden costs or facing new exclusions and deductibles, from what this experienced insurance broker has seen.

US Medical Supply Infomercial Part 1

Question: Does anyone have the Mid-West Live insurance company of Tennessee?

An insurance agent sold this to my parents and I wish they put everything into layman’s term.
They bought this through a group called the Alliance for Affordable Services.
They have a $5000 deductible but the policy reads like this:
Hospital room/board has CoInsurance of 100% with Maximum up to $1000 per day.
What is Coinsurance? Do they still have to pay something after their $5000 deductible?

Thanks in advance.

Answer: YES. If the hospital is $5,000/day they’ll have to pay $4,000 per day since their policy only covers $1,000.

Tell them to find another policy. They are owned by Health Markets which used to be UICI which also owns Mega Life and NASE. The policies between Mega and Mid-West are practically identical. And if you do a search for “Nase Complaints” you’ll find plenty of reasons to get rid of the policy.

Read this page on my site…it’s mostly about NASE because they’re more well known, but I have copies of the Mid-West brochure too…

http://www.insurancepickle.com/health-insurance/nase.shtml

Bottom line is they bought a ‘hospital/surgical’ plan with very limited benefits. They didn’t buy a major medical policy. AND, most importantly for the same or less money they could have bought a much better plan.

Items on Amazon Right Now for Deductibles And 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 …

Genoptix to participate in Aetna’s national provider network to offer laboratory and diagnostic services

Genoptix, Inc. today announced that it will participate in Aetna’s (AET) national provider network to offer specialized laboratory and comprehensive diagnostic services designed to optimize the care of patients suffering from hematomalignancies, or cancers of the blood and bone marrow, including leukemia and lymphoma.

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