![]() After this amount is spent on deductibles, copayments, and coinsurance, a health plans pays 100% of the cost of covered benefits.Ī high deductible health plan is a plan with a higher deductible than a traditional insurance plan. ![]() For example, you might pay a $20 copayment when you visit your doctor.Īn out-of-pocket maximum is the most amount of money a patient has to pay for covered services in a plan year. For example, a patient with a $2,000 deductible would pay for their first $2,000 of care before health insurance begins to cover costs.Ī copayment is a fixed amount a patient pays for a covered health services after they’ve paid their deductible. The term accumulator refers to the running total of a patient’s costs that apply towards their deductible and out-of-pocket maximumĪ deductible is the amount a patient pays for health care services before insurance kicks in. You may not have heard of copay accumulators or accumulator adjustment programs before, so this blog will provide an overview of these policies to help prepare you in case you might be at risk of facing this barrier to affordable cancer care.īefore we talk about this new type of policy, it might be helpful to define some terms. A new type of policy has been introduced that has the potential to put cancer patients at serious financial risk.
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