When something contained by vigour insurance say the coinsurance is 20%, i.e. what I wage and the doctor pays the res?
When something in health insurance say the coinsurance is 20%, that is what I pay and the doctor pays the rest of the 80%, right? Or is it the other method around? Thanks!
Answers:
you seem to be a little confused. the doctor will not pay anything. If your policy is 80/20 you payment 20% and the insurance company pays 80%. This is typical of this type of plan.
Your co-pay will be 20% of the bill and the insurance company will reward the doctor the remaining 80% of the agreed on fees for his services.
If this isn't clear then call the insurance company and ask them to explain it to you.
~~This means you will pay 20% of the contracted rate (all insurance companies enjoy contracted rates with medical providers, and the insurance will cover 80%.
Always check you EOB (explanation of benefits) that you will receive after a claim, from you insurance company. It's important because your insurance will bring up to date you exactly what you are required to pay. Do not go by a providers statement, as abundant times they try and charge you 20% of the full rate, not the contracted rate (which is actually illegal and they can lose their contract beside the insurance company), and some just make honest mistakes. So look at your EOB prior to paying your 20%.~~
The above are correct. BUT Doctors and hospitals can over charge
and the ins co. will only pay as to their policy rules.
Related Questions:
Answers:
you seem to be a little confused. the doctor will not pay anything. If your policy is 80/20 you payment 20% and the insurance company pays 80%. This is typical of this type of plan.
Your co-pay will be 20% of the bill and the insurance company will reward the doctor the remaining 80% of the agreed on fees for his services.
If this isn't clear then call the insurance company and ask them to explain it to you.
~~This means you will pay 20% of the contracted rate (all insurance companies enjoy contracted rates with medical providers, and the insurance will cover 80%.
Always check you EOB (explanation of benefits) that you will receive after a claim, from you insurance company. It's important because your insurance will bring up to date you exactly what you are required to pay. Do not go by a providers statement, as abundant times they try and charge you 20% of the full rate, not the contracted rate (which is actually illegal and they can lose their contract beside the insurance company), and some just make honest mistakes. So look at your EOB prior to paying your 20%.~~
The above are correct. BUT Doctors and hospitals can over charge
and the ins co. will only pay as to their policy rules.
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