Is reimbursment-type insurance where you pay the doctor, and then your insurance pays you back?

Question

If so, is it worth getting? How exactly do these kinds of plans work?

Answer 1

Well, it's more of a pain than the "pay on behalf of" insurance, because it's up to YOU to fill out the paperwork, send it in, answer any questions, and track it to be sure that you get the payment.

Is it worth it? Depends on how much money you're saving, vs. how much time you have to spend on it.

Answer 2

Hmmm, well, my knowledge isn't to good on this sort of stuff, but I'll try abd answer for you. reimbursment-type insurance is indeed what you said, you pay the doctor and the insurance pays you back. As for whether or not it's worth it.... I don't know, because I've never had it nor have I ever known someone who does have it. I believe you pay, and then the insurance pays you back what it thinks was neccessary, so I think it would probably be easier to get a normal insurance plan, because then all you have to worry about is what the insurance requires you to pay. sorry if this didn't help. Have an awesome day :)

Answer 3

In a perfect world, you'd get back what you pay for the service, however, if there's any sort of contracting involved, you'd get less back than you paid. In other words, if the doctor is contracted with the plan, but you have a deductible, don't pay first - let the doctor submit the bill and the insurance will tell him how much to charge you. If it's a plan where the doctor isn't in network - see if they'll let you submit the charges and then sign over the check to the doctor - more often than not, the insurance won't pay the same thing you do.

Answer 4

you pay the bill and send the reciept which the insurance company requires to have 19 designated items covered, which your reciept will not have, you will be denied reimburdement until you can get the doctor to make you a special reciept covrting everything the in the form that the insurance company wants in the language the insurance company wants. If you're diligent and have a cooperative doctor's office you can get paid. I had it and I hated it. Some doctors charge for preparing the special insurance company forms. Since it's is done by mail it is also slow.

Answer 5

Hi,

I am not sure what you mean by "reimbursement-type insurance." If your doctor does not bill your insurance company (may be an out-of-network provider), and if you want to get some money back, then you will have to file a claim with your insurance company (probably on their form).

Answer 6

Yes, but understand that the reimbursement may only be for "standard and ordinary charges", so you'll need to make sure that your doctor will only charge you those amounts.

Also, there may be a significant lag time between when you pay and when you are reimbursed, so you'll need to float that money until you get paid back - not bad for a $50 doctor visit, but a $10,000 surgery may set you back a bit.

Answer 7

What you are talking about is called "indemnity insurance." All insurance are some form of reimbursement, either to the insurer or the doctor directly. Sometimes, who gets paid, depends on whether you signed an "assignment of benefits" allowing your insurance company to pay the physician directly.