Bifalgorithm post · Health Education · Health Insurance: Key Terms

Plan Costs

Plan Costs (Health Education · Health Insurance: Key Terms) — "Premium is the amount paid for your health insurance every month. In addition to your premium, y…

Ideas in this flowchart

  • Costos principales del seguro médico
  • La prima es la cantidad que se paga cada mes por el seguro médico.
  • Además de la prima, pueden existir deducibles, copagos y coseguro.
  • El deducible es la cantidad que se paga por servicios cubiertos antes de que el plan comience a pagar.
  • Con un deducible de 2.000 dólares, la persona paga los primeros 2.000 dólares de los servicios cubiertos.
  • Algunos planes cubren chequeos, control de enfermedades y servicios preventivos antes de alcanzar el deducible.
  • Los planes familiares pueden tener un deducible individual y un deducible familiar.
  • Los planes con primas mensuales más bajas generalmente tienen deducibles más altos.
  • Los planes con primas mensuales más altas generalmente tienen deducibles más bajos.
  • Quienes utilizan frecuentemente su seguro podrían ahorrar a largo plazo con una prima algo más alta y un deducible más bajo.
  • Después de pagar el deducible, normalmente se paga un copago o un coseguro por los servicios cubiertos.
  • La compañía de seguros paga el resto del costo correspondiente.
  • El copago es una cantidad fija que se paga por un servicio cubierto después de alcanzar el deducible.
  • En una visita de 100 dólares con un copago de 20 dólares, se pagan 20 dólares después de alcanzar el deducible.
  • Si no se ha alcanzado el deducible, se paga el costo permitido completo de 100 dólares.
  • Los copagos pueden variar según el servicio, como medicamentos, análisis de laboratorio o visitas a especialistas.
  • El coseguro es el porcentaje del costo de un servicio cubierto que se paga después de alcanzar el deducible.
  • Con un costo permitido de 100 dólares y un coseguro del 20%, se pagan 20 dólares después de alcanzar el deducible.
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Plan Costs

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Health Education

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"Premium is the amount paid for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a deductible, copayments, and coinsurance. Deductible is the amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. Many health insurance plans cover certain services such as check-ups, disease management, and preventive services before the deductible has been met. Family plans often have both an individual deductible, which applies to each person, and a family deductible, which applies to all family members. Generally, plans with lower monthly premiums have higher deductibles. Plans with high monthly premiums usually have lower deductibles. Those who use their health insurance often would probably be wise to choose a plan with a slightly higher premium but a lower deductible, which may save money in the long-term. After paying the deductible, you will usually pay only a copayment or coinsurance for covered services. Your insurance company pays the rest. Copayment is a fixed amount, $20, for example, you pay for a covered health care service after you've paid your deductible. Let's say your health insurance plan's allowable cost for a doctor's office visit is $100. Your copayment for a doctor visit is $20. If you've paid your deductible, you pay $20, usually at the time of the visit. If you haven't met your deductible, you pay $100, the full allowable amount for the visit. Copayments, sometimes called copays, can vary for different services within the same plan, like drugs, lab tests, and visits to specialists. Coinsurance is the percentage of costs of a covered health care service you pay, 20%, for example, after you've paid your deductible. Let's say your health insurance plan's allowed amount for an office visit is $100 and your coinsurance is 20%. If you've paid your deductible, you pay 20% of $100, or $20. The insurance company pays the rest. If you haven't met your deductible, you pay the full allowed amount, $100."

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