Generally the provider will bill the insurance company just as an in-network provider will. Then the carrier will send an Explanation Of Benefits (EOB) to the policy holder just as they always do. What changes is how much they will pay and how much you will need to pay.
Let's say a procedure is billed at $300 and the in-network price (negotiated rate) is $100. You would pay whatever your potion of the $100 negotiated rate you are responsible for and the carrier pays the balance. Say the carrier pays 80%. They pay $80, you pay $20 and the remaining $200 is discounted away.
Out of network the carrier works on the same negotiated rate from their perspective but generally at a lower percentage, say 50%. So they would pay $50 and the remaining $250 is your to pay unless you can work out a discount directly with the provider.
no
The primary insurance holder will be held responsible. That is part of the agreement, they will have to pay.
Yes, she will be held responsible. The primary insurance holder is always responsible for the medical costs under
because you want to know who is the holder for the policy, and to see if the insurance is valid
In order for you to be covered by your medical insurance, one of you will be the policy holder, and the other will be considered a "dependent" on that policy.
Typically the answer will be yes. The primary insurance holder will always be responsible.
They will pay the provider of medical care who bills them for the medical care provided. Your health insurance will not pay any amounts until they have proof that your medical insurance on your auto policy has paid and been exhausted. Also, it is illegal to double collect for any costs relating to any kind of insurance except for life insurance.
The estate is responsible for the medical debts. The exception would be if the children were the insurance holder or co-signed the medical agreement.
In medical insurance, the policy holder of the policy is not automatically the guarantor of a step child. To become the guarantor of the child a formal adoption should have taken place, or the child can be added to the policy.
Workmens sells an Insurance that covers the policy holder for injuries or medical conditions caused by their employment which leads them to be unable to work. It provides a salary.
Chances are yes, you will have to pay the bills. The primary insurance holder will be held responsible and they both benefit.
is it a policy holder?