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If you have met the deductible with your insurance company for the year and you change insurance companies in the same year do you need to satisfy another deductible with the new insurance company?
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
Health Insurance Plans: Cost Basics?
Health insurance plans have three main components: the premium, the deductible and the co-insurance. The premium is the money that you pay each month to be covered by the health plan. This is the only part of the plan that is paid whether you use your insurance or not. The deductible is the amount of money you have to pay out of pocket each year, before your insurance company will begin picking up part of the bill. The co-insurance is the portion of the bill that you are required to cover after the deductible has been reached. These companies together make up your actual cost of health insurance.
How do health insurance deductibles work?
An insurance deductible is a set amount of money that the insured is required to pay before the insurance company starts to pay. For instance, if your deductible for the year is $100.00, and your first insurance bill is $150.00 , they will only pay $50 and you will have to pay $100 (deductible). Every insurance bill after that will be paid for by the insurance company until the end of the year and then the cycle starts again. The deductible is your responsibility.
Does your deductible count towards your out of pocket maximum?
Yes, your deductible does count towards your out-of-pocket maximum. Once you reach your deductible amount, your insurance plan will typically start covering a larger portion of your healthcare costs until you reach your out-of-pocket maximum for the year.
What if your employer recently changed insurance companies midyear without telling you your deductible for the year was fully paid Do you have to pay a new deductible now?
Most insurance companies allow credit for the deductible met for services that actually incurred during the same calendar year. Call your new insurance company and find out if they allow the credit and what proof they require.
What does after deductible mean?
"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)
About what percent of premiums do you pay for high deductible insurance compared to low deductible insurance?
It really is not possible to define that in percentages. But think of it this way, the higher the deductible ( the amount you pay BEFORE the insurance company begins to pay ) the lower the premium. Just do the math, if you are taking a $2,000 deductible over a $1,000 deductible , but you are only saving $200 a year, it is not a good choice. You are basically putting yourself on the hook for potentially another $1,000 in deductible to save $200.
What are the benefits of a high deductible insurance plan?
Whether for health or automobile insurance, these plans require you to pay a greater part of the cost of insured services. The benefit is that your premium is lower--with auto insurance, frequently increasing your deductible can reduce your premium by more than the deductible (i.e., if you raise your comprehensive from $250 to $100, you would save $160 a year). There is also a secondary benefit in that you will make fewer claims which will reduce the likelihood of your policy being cancelled or having your premiums go up in the future.
You had a medical procedure done in 2009 but you did not get the bill until 2010 and you paid it then does this go towards by 2010 insurance deductible?
Probably not. The date on which services were rendered will usually be the determining factor. If you had already fulfilled your deductible for 2009, your insurance company may need to reconcile their books and may owe you a refund of some portion of your deductible. However, if you had not otherwise met your deductible for 2009, it may still be possible for what you paid at the end of 2009 to be counted toward your 2010 deductible. Contact your health insurance company. In special circumstances like these, some health insurance companies will allow funds paid toward a deductible in the last quarter of one year to be applied towards the next year's deductible.
What is the out of pocket maximum after the deductible?
The out of pocket maximum is the most you have to pay for covered services in a plan year. It includes deductibles, copayments, and coinsurance. Once you reach this limit, the insurance company pays 100 of covered services.
What must be paid each year by the policy holder before the insurance policy benefits begin?
Deductible
What does annual deductible mean for health insurance?
The annual deductible is the aggregate maximum amount that the insurance policy requires the insured(s) to pay over the course of a year in deductibles. Stated otherwise, a deductible will normally be incurred for each physician's visit, medical test, or other procedure. There may come a point however, during the course of the year, when the total of all of those deductibles meet or exceed the annual deductible (specified in the policy). At that point the annual deductible will have been met and until the start of the new policy year, no further individual deductibles will have to be paid.
