Insurance lingo hepl

[juno5 30]

Could someone please give me a mini lesson on insurance lingo. Like max out of pocket. Deductable. Etc.

[ShrinkingPeach 1,291]

Deductible is when your insurance says you have to pay a certain amount before they will begin paying. The bills are applied to your deductible and once it is met, your insurance kicks in.

Co-insurance is when you pay part and your insurance pays a part of the bill.

Max out of pocket of when there is a limit to how much in a year you are expected to pay. When your portions add up to the max out of pocket, you don't pay any more for the year.

When amounts are applied, they are the allowed amounts not the full bill. The provider and the insurance company in their contract have an agreed upon amount that will be considered for all procedures. THAT is the amount considered not the full bill.

All amounts you pay are figured based on the allowed amount not the billed amount.

Hope that helps. Message me if you have any other questions!!

[juno5 30]

@@shrinkingPeach thank you! This helps!