Killeen small business group health insurance

Killeen small business group health insurance

Surgical/Medical

The surgical/medical (S&M) policy is meant to complete your basic health protection package. Typically S&M policies pay for physician’s services; the nonhospital costs of surgery, including the anesthesiologist; the cost of diagnostics testing; in-home health care, if provided; skilled nursing, if provided; medically necessary ambulance services; the use of wheelchairs, etc.; and services such as physical Killeen small business group health insurance therapy.

The plans usually work something like this.

Deductibles

Most policies do not pay from dollar one but require you to pay a certain amount before benefits kick in. this payment is called the Killeen small business group health insurance deductible. Deductibles usually are set at approximately $200 per person, although they can be much higher. (For example, some people with preexisting conditions can only obtain policies with deductibles in the thousands of dollars.) Most policy deductibles are for a calendar year but some policies have Killeen small business group health insurance deductibles per malady. If you have a choice and can afford a deductible per calendar year, go for it since having to pay a deductible every time you have a health problem could get very expensive.

Copayments

Most S&M policies require you to pay a portion of the total bill, typically 20 percent after the deductible has been met. There will often be a stop-loss provision that limits your yearly total copayment to a defined figure, such $3,500 or $5,000. Thus, if you incurred a $2,000 medical bill on a policy where you had to pay 20 percent, you would be responsible for $400 (assuming you had paid your deductible). However, if you had previously paid all of your yearly Killeen small business group health insurance obligation, your bill would be paid in full by your insurance company.

Another practice of some insurance companies is to publish an Killeen small business group health insurance schedule of benefits that will be paid per diagnosis. These payment schedules are invariably far less than the actual fees charged by doctors. When that happens, the patient must pay the difference.

…Continued in Killeen small business payroll outsourcing