When the insured/beneficiary (patient) pays the total deductible amount out of his own pocket. A deductible is the amount for which the patient is financially responsible before an insurance policy provides payment.
That depends on the terms of your insurance.
Not necessarily. It depends on the "Plan Year". For example, if your plan has a calendar year of January 1 through December 31, and by September 15 you have met your deductible, the new insurance carrier would have to issue a Deductible Credit Transfer because you have already met the deductible for the plan year. However, if the new plan has a plan year that runs from September 1, through August 31, then by September 15, your plan has already started to run and the deductible after September 1 only is the amount you can apply. YES
Yes, unless your insurance policy says 100% covered.
Depends on the doctors office billing procedures. For more details visit www.SteveShorr.com yes, your secondary insurance should cover this amount if you have reached your deductible with them. Normally, if the primary insurance applies a deductible or co-insurance/co-pay and you have not met your deductible on your secondary policy, depending on your policy they may apply the remaining balance to your deductible. Normally after the deductible is met on the secondary ins. they pay 100% of your remaining balance.
My bill was $2500. My low cost insurance did not pay as I had not met my high deductible.
"After deductible" means you will not get coverage or certain benefits until a deductible has been met. Insurance policies often have more than one deductible. For example, you may have a $1,000 per year deductible for certain medical expenses, and another deductible for prescription drugs. If your prescription drug deductible is $500 per year, you will have to pay out of pocket the first $500 of drug cots before your plan will kick. Many plans have complicated formulas for how deductibles are applied and how they are met so there is no one answer. But "after deductible" always means that the person with the insurance policy will have to pay something first, before getting reduced-cost, free, or co-pay services and drugs. Source: Women in Business (http://www.womeninbusiness.about.com)
Yes
My bill was $2500. My low cost insurance did not pay as I had not met my high deductible.
A premium is the amount of money you pay the auto/health insurance company monthly, quarterly, or biannually whether or not you get in an accident or go to the hospital. The higher your premium the lower your deductible, and the lower your premium the higher your deductible. A deductible is the amount of money after you get in a car accident or visit the hospital before your insurance company pays anything. After you have met your deductible the insurance company covers the rest of the expenses.
If it's a costly procedure, then you'll probably go over the deductible amount and get paid on everything over that. Check your policy or brochure.
deductible
Answer$450 * .9 -$135 *.8 = $216.00