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Q: If you have Medicare that has no premium no deductible but 6000 out of pocket expense how does this work?
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What are the disadvantages of choosing a health plan with a high deductible?

There are many disadvantages of choosing a health plan with a high deductible. Although the premium is lower, the out-of-pocket expense for doctor's visits are more expensive. Therefore, people may choose to forgo important medical attention for minor issues, which can ultimately lead to a more dangerous ailment.


What is the definition of covered medical expense?

A covered medical expense is an event/procedure that your insurance company will pay for, in full or in part (perhaps with a co-pay or deductible). Uncovered expenses are things you're expected to pay out of pocket.


What does the acronym 'HDHP' stand for?

The acronym HDHP stands for High Deductible Health Plan. It is a plan that has lower premiums. In 2013, the maximum out of pocket expense for a family is $12,500.00.


Is there copay for Medicare?

No. Patients out of pocket is limited to the annual deductible and 20% coinsurance.


Is a health premium the same as a deductible?

No. When referring to health insurance, the "premium" is the amount you pay to the health insurance company each month to maintain your coverage. The "deductible" is a specific dollar amount you may be required to pay out-of-pocket per year before the health insurance company will begin paying for medical services covered under your policy. The amount you pay toward your monthly premium (or for copayments) does not count toward your annual deductible. Not all health insurance plans have a deductible, and even among plans with deductibles, some services may be covered up-front (preventive care, for example) without being applied toward your deductible.


In the medical field what do they mean by the payment was applied to the deductible?

Deductible means the amount of Covered Expense you must pay for Covered Services before certain benefits are available to you under this Combined Evidence of Coverage and Disclosure Form. Your annual Deductible is stated in the Part entitled ?MAXIMUM LIFETIME BENEFITS, ANNUAL DEDUCTIBLE, CO PAYMENTS AND ANNUAL OUT-OF-POCKET MAXIMUM.If your deductible has not been paid, the insurance company has the right to withhold the deductible amount first and then pay out the difference.


What happens to an auto insurance premium when a deductible is lowered?

Depending on your driving record, there may be little change in your rate, however when you do utilize your insurer for a claim, you'll pay less out-of-pocket. If that is the only thing changing, decreasing the deductible will increase the premium. They have other expenses to service your policy, so the calculation isn't this simple, but if the insurance company's statistics predict you will submit 1 claim for $1000 damage every ten years, theoreticly they could give you free insurance if you selected a $1000 deductible since they would expect no payouts. If you lowered the deductible to $500, then they would expect to pay $500 sometime in the next ten years and would want a premium of $50 a year. If a deductible is lowered the premium usually goes up


Is insurance premium part of deductible?

The insurance premium is the amount you pay the insurance company every month. The insurance deductible is the set amount which you pay out of pocket for repairs after you make a claim. For example... you may pay $100 to the insurance company every month for the insurance policy and have a $500 deductible. If you file a claim you are expected to pay for $500 of the repairs yourself, while the insurance policy covers anything above that amount up to your max limits.


Should you report a minor accident to your insurance if the third party may not make a claim and the repair is more than your deductible?

You might want to calculate how much out of pocket expense you would have after the deductible. Compare that with how much your rates might go up. If there is a significant difference either way, that should be a part of your decision.


High deductible health plans?

A high-deductible health plan contains certain minimum dollar limits on the annual deductible and maximum limits on the out-of-pocket expenses listed under the plan. An individual health care plan would be considered high-deductible if it has an annual deductible of at least $1,200. A plan for family coverage is considered high-deductible if it has an annual deductible of $2,400. Out-of-pocket expenses for 2011 may not exceed $5,950 for individual coverage and $11,900 for family coverage. Out of pocket expenses include deductibles, co-payments, etc. www.bankofkc.com /personal/hsa-faq.aspx


What is a deductible?

A deductible is the amount that you must pay out of pocket before the insurance company will start making payment.


How is deductible met?

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.