How do we meet the deductible on our healthcare plan?

Question

We had a health-fund but have used it up, and before our insurance can be used we still need to pay out about 300 to meet our deductible. How do we pay it?

Answer 1

Once you receive services from a provider, they will bill your insurance company. The company will reprice the claim to their agreed upon amount and apply that amount toward your deductible. They will notify the provider and you of this amount in the form of an Explanation of Benefits. The provider will do the repricing on their end and bill you for the balance. You will then need to make arrangements with the provider to pay that amount.

If you do not receive any services, you do not need to pay your deductible.

Answer 2

Normally an insurance deductible is paid when you use services that are covered by the insurance. For instance if you goto a doctor and he charges $500, you would pay $300, and you insurance would pay, or reimburse you for the remaining $200. If it is an annual deductible you will not be responsible for any additional charges.

However, the best thing to do to would be to call the number on the back of your insurance card and ask them how your specific plan works.

Answer 3

If your health fund is used up, you will owe the rest of the deductible out of pocket. Remember, though the insurance company cant see if you actually pay the deductible to the care provider, the claims only show what applied to the deductible. So, if you need to you can set up a payment plan with your care provider for the rest of the deductible. Usually, any claim that does not apply a copay is going to apply to your deductible until it is satisfied. The amount that goes toward your deductible is the amount the insurance company has contracted with your care provider. They will accept that amount as payment in full. Thus, the  on said claims will go toward deductible, until it shows satisfied on your claims.