*It is very important that you understand your plan of benefits you have with your insurance carrier. Therefore, you must now meet the new deductible before your insurance begins to pay your medical claims. Your insurance calculates your deductible based on benefit year. Why is this happening? Your most recent services may have taken place in a new benefit year. Now I am having services done again, and a deductible is being applied. I had extensive services several months ago and received notification from my insurance company that my deductible was met. Why am I paying my deductible amounts again? When you were called back, the visit was considered non-routine or therapeutic and your deductible was applied by the insurance company. Your insurance processes these visits without a deductible. Your first service was considered a screening/routine/preventative. I had this service done last month and it was paid, but I had to come back and have it done again and now I have a bill. Why am I getting a bill for the same services that I had done? They will often vary by the type of provider or service. Copayment amounts are normally listed on your insurance card and set by your insurance company. Copayments are collected when you present at the place of service. What is a co-payment?Ĭopayments are set amounts you must pay when you go to your health care provider for service. What is a coinsurance?Ĭoinsurance is a percentage of your health care bill that you pay which is determined by your insurance carrier – usually as a percentage of the amount they calculate as full payment. Check with your plan for more information on your annual deductible and when it resets each year. Some services under your plan of benefits, for example, routine services, may be paid by your insurance without being applied to your deductible responsibility. Once the amount is determined, you will receive a bill from the facility/office that you visited. When the hospital/office submits a claim for your visit, your insurance will review your plan benefits and determine if they will be paying the claim or if the services will apply to your annual deductible. Deductible amounts are set by your insurance company. US Family Health Plan List of Insurances Accepted by Baystate Reference Laboratoriesĭeductibles are the annual expenses you are responsible to pay before your health insurance will pay your health claims. Senior Whole Health (specialty services only) Tufts Network Health (specialty care only) HealthNet Federal Services (Tricare and VA plans) If you have a question about whether your specific health plan is accepted, please call Patient Billing at 41.īlue Cross / Blue Shield of MassachusettsīMC HealthNet (limited specialty services) Please note that Baystate Health does not necessarily accept all products at all locations. Click on the appropriate link below to learn more about a specific company or plan. The fastest way to enroll in a MassHealth health plan is online through the MassHealth website.Baystate Health hospitals and physician practice sites accept health plans offered by the following insurance companies. are currently enrolled in a MassHealth plan and have to change your health plan.were enrolled with a health plan or a primary care provider that is no longer available through MassHealth or.became eligible to re-enroll in a health plan.You may be able to enroll in a health plan online if you or members of your family recently If you have not yet completed an application, you can apply online → If you are not a member, you must apply for MassHealth before enrolling. If you just applied for coverage for the first time and you, other members of your household, or both were determined eligible for certain types of MassHealth coverage, you must enroll in a health plan.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |