Health insurance doesn’t pay all of your health care expenses. Instead, you’re expected to foot the bill for part of the cost of your care through your health plan’s cost-sharing requirements like your deductible, copayments, and coinsurance. Since deductibles and copayments are fixed amounts, it doesn’t take a lot of math to figure out how […]
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What Doesn’t Count Toward Your Health Insurance Out-Of-Pocket Limit?
Most health insurance sold in the United States comes with an out-of-pocket limit, also called an out-of-pocket maximum, which limits what you pay in cost-sharing expenses each year. Once the money you’ve paid toward your deductible, copayments, and coinsurance add up to the out-of-pocket limit, your health insurance pays 100% of your covered health care […]
Best Resources for Information About Health Insurance & Health Policy
A Few of My Favorite Health Insurance & Policy Websites There are many sources of news and information about health insurance and health care reform in the United States, but some are better than others. I define better as: Providing more in-depth information and analysis than other sources, Providing a unique viewpoint, Providing fact-based information […]
Home Health Care & Health Insurance—Understanding Your Coverage
There are two distinct types of home health care: skilled home health care and non-skilled or custodial home health care. Which type you need and why you need it may determine whether or not your health insurance will pay for your care. Skilled Home Health Care Skilled home health care is care that, due to […]
Out-of-Pocket Maximum—How It Works and Why to Beware
The health insurance out-of-pocket maximum is the largest amount of money you pay toward the cost of your healthcare each year. After you’ve paid enough in deductibles, copays, and coinsurance to reach your out-of-pocket maximum, your health insurance company pays for all of the rest of your healthcare that year. But, it doesn’t always work […]
Pregnant? No Maternity Insurance? What Now?
Resources for Affordable Pregnancy Care & Maternity Insurance If you’re pregnant and don’t have health insurance, you probably feel vulnerable and overwhelmed. While individual health insurance plans that include maternity coverage are available through the Affordable Care Act’s health insurance exchanges you can only enroll in those plans during open enrollment. If you missed Obamacare […]