What are the types of deductible?

Per incident deductible: You pay the deductible every time you get a new medical ailment (be it sickness of accident related) before the insurance company pays anything. Inbound USA and Inbound Immigrant from SRI have deductible per incident. Per visit deductible: You pay the deductible every time you you visit a health care provider (doctor, hospital, laboratory etc..) before the insurance company pays anything. Per policy period deductible: You pay the deductible only once during the entire policy period, irrespective of how many times you get sick or injured during the policy period. Annual deductible: You pay the deductible only […]

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Should I pay the medical practitioner/organization initially and then get reimbursed or will the insurance company be billed directly?

On purchasing insurance from an American insurance firm, you will receive an insurance card with details about your insurance. When you visit the doctor/hospital, the billing office at the hospital will usually make a photo-copy of your insurance card, call the insurance company to verify your policy, and will then bill the insurance company directly. You will have to pay the deductible amount. In some instances if the medical office has not dealt with this particular insurance company, they might insist that you pay the bill on receiving medical treatment. In this scenario, you would get an detailed bill, which […]

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Can you give an example of my medical expenses with different insurance plans?

This really depends on the policy. For example if your medical bill is $24,000. Scenario 1: After deductible, policy covers up to a maximum of $50,000. Here your expense is the only the first $100 deductible. Thus your final expense is only $100 while the insurance company will cover the remaining $23,900. Scenario 2: Deductible is $100 with Maximum coverage of $50,000. Policy covers 80% of first $5000 then 100% to the policy limit. So your expense is the first $100 deductible followed by 20% of first $5000, which is $1000. Thus your final expense is $1100 while the insurance […]

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Can I go to any doctor/hospital, or am I limited to specific medical practitioners?

This will vary for different insurance plans. Some plans allow you to visit any medical practitioners, while others have their provider network. In the latter case, if you visit a doctor/hospital within the provider network, the fee will be a standard rate that has been agreed between the insurance company and the provider. However, if you visit a provider outside of the insurance companies provider network, there may be a difference between the amount charged to you and the amount the insurance company considers reasonable. In this event, you will have to pay the difference between the two.

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