Your insurance has a deductible that you have to pay before they start paying. Let's say that deductible is $200.00. That means, after you pay over $200.00 in medical expenses, they will start covering it. If $42 is applied to your $200 deductible, then you still have to pay $158.00 in other medical bills before the insurance company will start paying. Contact them to find out what the amount of you deductible is. I know it sucks, sorry :(
2006-10-10 08:16:28
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answer #1
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answered by missportal 2
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Every year you have a deductible amount that must be met before your insurance starts paying any medical benefits. After the deductible is satisfied, then they pay their percentage and you are only responsible for the copay.
Check the explanation from your insurance company, it should explain what you owe the company. Ask the company if they "participate" with your plan. If they do then they have to write off the difference between what was billed and what the insurance company allows.
2006-10-10 08:24:31
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answer #2
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answered by dinan s 2
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Say you have a $500 deductible and you get a $1000 bill for procedures you are responsible for the first $500 of that bill whether you pay a copay or not. Whatever your stated deductible is you have to pay that amount before insurance will even begin to pay the rest.
2006-10-10 08:15:53
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answer #3
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answered by rltouhe 6
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Read your policy terms. You may have a copay AND deductible for certain procedures. If so, then you owe both. The company wouldn't know how much of your deductible you had already satisfied, so they didn't bill you for that until they filed your insurance and got a response.
2006-10-10 08:16:09
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answer #4
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answered by jboatright57 5
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When you have a deductible it means that you have to pay that amount before your insurance kicks in.
So for example if your deductible is $1000, you have to pay out of your own pocket the first $1000 of your medical care and then your insurance will kick in. This is how all insurance used to be, but not with HMOs and PPOs its different.
Now you often have deductibles for specialists/hospital or out of network providers. You should check with your HR person about the actual benefits of your plan.
2006-10-10 08:16:55
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answer #5
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answered by joseFFF 3
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Your insurance coverage should have information provided to you regarding your deductible(s). Your deductible with regard to insurance is your portion of the shared or assumed risk. As an example, your insurance for your vehicle carries a deductible. This is the portion of responsibility/risk you are going to assume in the event of a collision; e.g.: $500. The insurance company will assess the damage and indemnify (or compensate) you accordingly.
2006-10-10 08:17:05
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answer #6
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answered by happygogilmore2004 3
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It means that your insurance policy haseset an amount you must pay first before they pay and benefits. This is called a deductible and is up and above the co-pay required by you.
2006-10-10 08:17:19
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answer #7
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answered by Anonymous
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It means you must pay any incurred bills until you have met your deductable amount, usually two or three hundred dollars. Same as a car accident - if you do $5,000.00 in damage and your deductable is $250.00, you pay the FIRST $250.00 before they kick in.
2006-10-10 08:16:43
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answer #8
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answered by productsafety1 1
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Maybe you have a higher deductible for specialists? Or maybe there was something done during your visit that the insurance doesn't cover?
2006-10-10 08:10:00
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answer #9
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answered by Anonymous
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they will deduct that amount from ur deductible ,then ur deductible will be smaller till the end of the year good luck
2006-10-10 08:17:40
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answer #10
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answered by twopipes1 3
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