How can I calculate my medical bill?
Medical bills are sent directly to the insurance company by the hospital after seeing the doctor, then the insurance company will negotiate with the hospital before giving a specific price. The final negotiated cost is shared between the patient and the insurance company. As for how much you pay, it depends on the quality of the insurance plan you buy. If it is a better insurance plan, you may only have to pay a little. But with a bad insurance plan, you may have to pay around 40% of the cost. Of course, it is impossible for us to know how to calculate the proposed compromise negotiated between the insurance companies and the hospitals. However, it is precisely because of this link that the initial prices offered by hospitals are very high, and they will be several times higher than their actual prices. Therefore, if there is no insurance, it is best to tell the hospital directly that you do not have insurance when you see a doctor, then the bill he will issue will be a bill more reasonable and real. And it will certainly be much lower than the price issued to the insurance company. And if there is no medical insurance in certain places, the hospital will make corresponding adjustments according to your income and give certain discounts, so these details should be asked before consulting a doctor. then the invoice he will issue will be a more reasonable and real invoice. And it will certainly be much lower than the price issued to the insurance company. And if there is no medical insurance in certain places, the hospital will make corresponding adjustments according to your income and give certain discounts, so these details should be asked before consulting a doctor. then the invoice he will issue will be a more reasonable and real invoice. And it will certainly be much lower than the price issued to the insurance company. And if there is no medical insurance in certain places, the hospital will make corresponding adjustments according to your income and give certain discounts, so these details should be asked before consulting a doctor.
Learn about common basic terminology in health insurance
Premium payment
The premium payment is the monthly insurance premium. As long as you have signed a contract with the insurance company and choose a medical plan. Whether you are sick or not, you must pay a fixed monthly premium. Costs can range from 0 to several hundred knives. Then the main factor that affects this premium is to look at your age and gender. If you have a regular job, the company will usually help you buy this medical insurance, and you only need to pay about 20%, but if you are a student or self-employed, these costs will have to be paid for yourself. .
What is deductible in insurance?
The common term deductible in medical insurance is the deductible, which is the part of the charge you pay before the insurance claims it. For example, if your insurance plan is 200 deductible, it means that during the period of your insurance (usually one year), you have to pay 200 for medical treatment, then when the cost of medical treatment exceeds 200 in the year, your insurance company will share the medical costs with you according to the percentage signed in the previous contract. This deductible number is chosen by yourself before purchasing insurance, and the deductible can be zero or thousands. But generally speaking, the higher the deductible, the lower the monthly health insurance premium. As for the plan to choose,
What is coinsurance
Coinsurance is the amount of coinsurance. After paying the deductible, but before reaching the annual maximum out of your pocket, you personally pay a percentage for each visit, and then the insurance company will pay the remaining percentage of the bill. For example, your insurance plan has a coinsurance of 20%, which means that after paying your deductible, you still have to pay 20% of your medical bills, and the insurance company will pay the remaining 80% of the Invoice. Simply put, the insurance company will share the rest of the cost with you on a percentage basis after you have paid the entire deductible.
What is the quota?
Copay refers to the money you have to pay out of your own pocket, which is usually a fixed fee. It’s a fixed amount you have to pay every time you see a doctor and buy medicine, which is a bit like a national registration fee. Different medical programs may charge different copayment amounts. For example, family doctors are usually cheaper around 10-25, specialist co-pay will be more expensive 30-60, prescription drugs 15-50. It should be noted that the co-payment does not count towards the deductibles.
Maximum disbursements
Maximum personal expenses – refers to the maximum annual payment. This is the maximum amount that you can personally pay during the period of your insurance (usually one year). Until you reach this limit, the insurance company and you personally share your medical expenses under the insurance plan contract. But when your personal payment reaches the prescribed limit, the insurance company will be responsible for 100% of your medical expenses, and there is no ceiling. For example, if your insurance plan pays up to 2,000 and then needs 10,000 knives for hospitalization, the insurance company will pay 8,000 knives.
In-Network Provider与Out-of-Network Provider
In-Network Provider – refers to doctors, hospitals and pharmacies affiliated with your health insurance company. These affiliated doctors, hospitals, and insurance companies usually have agreements or contracts that bill as required by the insurance company. Therefore, you usually have to choose their insurance company to pay for the insurance plan. Out-of-network provider – means a medical facility outside of an insurance company’s network. Refers to doctors and hospitals that do not have an agreement with the insurance company on services, fees, etc. General insurance companies won’t pay for you or you have to pay a relatively high copayment, deductible and coinsurance.