Comments on: Understanding Health Insurance – Part 2

By: JamieGRL

JamieGRL — Sun, 29 Nov 2009 02:46:59 +0000

Is your deductible included in your out of pocket max ?
sometimes it is, sometimes it isn’t.

you pay your deductible of 2500$ …
then you pay your co-insurance of 80% up to 5000$ (oop max)
then insurance pays 100% of covered services for the calendar yr.
References :

By: MICHELLE C

MICHELLE C — Sun, 29 Nov 2009 02:44:59 +0000

I’m not an expert on this, however I would suggest you take a tour here http://www.HealthInsuranceIdeas.info/free-online-health-insurance.htm ,there are expert’s tips there.
References :

By: Lisa

Lisa — Sun, 29 Nov 2009 02:42:59 +0000

If you are going to do it yourself get quotes from different life insurance companies first. Agents will cost you $. If it is too much trouble then consider getting a non term life insurance plan for say like $50,000 without a medical exam.
References :
http://www.abbalifeinsurance.com/freequote.html

By: mbrcatz

mbrcatz — Sun, 29 Nov 2009 02:40:59 +0000

You should be buying through a local agent, instead of trying to do "do it yourself" insurance – they can explain how all this works.

Your abbreviations aren’t clear – if you have a five day deductible, the first five days of care aren’t covered. If you have a limit of coverage, to five days, then YOU pay every day over five days.
References :

By: Sophokl S.

Sophokl S. — Sat, 28 Nov 2009 21:38:21 +0000

Understanding medical / health insurance quote?
I recently got a quote for a health insurnace, but I am not sure I have a proper understanding what they mean…

IN NETWORK:
Deductible Ind / Fam – 2500/5000
Co-Insurance – 80%
Maximum Out-Of-Pocket – 5000/10000
then some co-pays for Office, Labs, Specialists (I’m OK with that)
Hospital 2500/5000 In/Out Net

So, the QUESTION IS:
If I am taken to hospital for 10 days (say, I am Ind, not Fam; and the bill, say, is 18000):
- I first pay Deductible 2500;
- then I pay 80% of the amount up to 5000 Max Out-of-Pocket;
- and then Insurance covers the remaining part of the bill?

How it works if the Hospital part In Net looks like 500D/5D/admit after Ded – who pays if it is over 5 days and how much? 100% or Co-Insurance part?

Thank you for your help, as I got confused even after reading all the helps on insurance web-sites.