Trying to plan finances - is deductible considered part of max out of pocket?
Is your deductible considered part of your max out of pocket?
Anyone know?
I have BCBS but would assume it doesn't really vary.
So, for instance, if I have a $1000 deductible, and $3000 coinsurance, but max out of pocket is $3000... does the deductible count towards that? Hospital financial person is telling me it doesn't.
Thank you! TGIF!
Anyone know?
I have BCBS but would assume it doesn't really vary.
So, for instance, if I have a $1000 deductible, and $3000 coinsurance, but max out of pocket is $3000... does the deductible count towards that? Hospital financial person is telling me it doesn't.
Thank you! TGIF!
I work in Insurance, have had several clients one of them being BCBS and deductible was always included in OOP.
I have Untied insurae with a high deductible (2400) and it was applied to my oop max, so once i paid my ded I was done for the year...Look into HSA or FSA you can contribute pre tax dollars to these accounts so its not such a shock when its time to pay for your surgery!
I have Untied insurae with a high deductible (2400) and it was applied to my oop max, so once i paid my ded I was done for the year...Look into HSA or FSA you can contribute pre tax dollars to these accounts so its not such a shock when its time to pay for your surgery!
RNY on 04/16/12
i have bcbs to and if your deductible is met for the year. All you should have to worry about is your doctors visit copays. If you call the number on the back of the card they are pretty good at telling you what they will cover.
I do insurance daily, and here's my understanding of it:
If you have a $1,000 deductible, 100% co-insurance and a $3,000 OOP max it should work like this:
Once you meet your $1,000 deductible, you'll be covered at 100% (after a co-pay, if you have one, or with no co-pay if you don't have one) - and once your $1,000 deductible is met, since you paid that OOP, you'll have a $2,000 OOP remaining.
Honestly, that's not a bad policy at all. I've seen way worse.
If you have a $1,000 deductible, 100% co-insurance and a $3,000 OOP max it should work like this:
Once you meet your $1,000 deductible, you'll be covered at 100% (after a co-pay, if you have one, or with no co-pay if you don't have one) - and once your $1,000 deductible is met, since you paid that OOP, you'll have a $2,000 OOP remaining.
Honestly, that's not a bad policy at all. I've seen way worse.