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re: Ignorant question about health insurance deductibles and out of pocket maximums

Posted on 9/25/14 at 12:24 pm to
Posted by ljd4662
Baton Rouge
Member since Aug 2012
93 posts
Posted on 9/25/14 at 12:24 pm to
quote:

I only have to hit $500 once in a calendar year


This

Your insurance may have an 80% coverage 20% co insurance amount after the deductible. I think this means that you would pay 20% of the amount of each service until you hit $3000 maximum for the year. Read the policy and see what your co insurance is.
This post was edited on 9/25/14 at 12:25 pm
Posted by LSUsmartass
Scompton
Member since Sep 2004
82376 posts
Posted on 9/25/14 at 12:26 pm to
quote:

Your insurance may have an 80% coverage 20% co insurance amount after the deductible. I think this means that you would pay 20% of the amount until you hit $3000 maximum for the year. Read the policy and see what your co insurance is.

Right, it would all make sense if the plan had co-insurance listed or an 80/20 split on some services but everything that doesn't have an upfront co-pay is listed as 100% coverage after deductible is met.
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