When most people in Houston, TX are shopping for health insurance, they mainly think about the cost of the premium. They may also consider the full cost of the plan, including deductibles, coinsurance, and copays. However, it is just as important to consider the value that health insurance provides. If you have questions, feel free to contact Insurance Over Texas to learn more.
Health insurance providers directly negotiate costs with hospitals and health care providers. Then, the rates are included in the health care plan. Some plans will only negotiate rates for in-network medical care providers, while others will offer negotiated rates for out-of-network providers. All health insurance plans provide coverage for emergency services regardless of whether the care received was from an in-network provider.
The amount charged by health care providers is typically higher than the negotiated rates. You will receive an Explanation of Benefits that will include a breakdown of the costs, including:
- The amount the provider usually charges
- The negotiated cost
- How much was paid by your insurance policy
- The amount that you owe that was not covered
Health insurance plans feature an out-of-pocket maximum and an annual deductible. The deductible is the amount that must be paid before the insurance company takes over the responsibility for the costs. Once the out-of-pocket maximum is reached, the insurance company will pay the remainder of the medical expenses.
Preventative Care Coverage
Health insurance plans offer complete coverage for preventative care. When doctors can identify a health problem in the early stages, they can begin treatment to prevent the progression of the problem. This will save you a lot of money by avoiding expensive treatment bills for preventable issues.
To find out more ways health insurance can save you money in Houston, TX, contact the experts at Insurance Over Texas today. Give us a call today.