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Posts Tagged ‘Ppo Insurance’
What Is the Difference Between Deductible, Copay, and Coinsurance?
Question by : What is the difference between deductible, copay, and coinsurance?
I know I want a PPO for an individual. But can someone explain terms such as “co-insurance”, “copay” and “deductible”? They sound like the same thing. Sounds like “what you have to pay when you go to the doctor”. But obviously the terms don’t mean the same thing.
PLEASE no stupid answers. Telling me “it means you pay” really doesn’t help me. If you can’t give me a real answer, then don’t give me ANY answer.
Best answer:
Answer by Someone who cares
It means you pay.
What do you think? Answer below!
New insurance agreement to save Framingham .7 million
Filed under: ppo insurance
Medical Bill From Day-Surgery Center Whose Contract With Our Insurance Had Expired at Time of Service.
Our PPO insurance has extremely high annual deductible & relatively high co-pay (we are seniors, my spouse is self-employed – it’s the only way we can afford any insurance at all).
My spouse had colonoscopy done late last year. Our insurance sent authorization to the gastroenterologist doctor who was to perform procedure. This doctor scheduled procedure at a day-surgery center. Insurance did not issue pre-authorization for this surgery center – only to the doctor.
On the date of service (DOS) – our credit card was charged $2000 as a pre-payment.
When the bill from the day surgery arrived – it was for $6800 less the $2000 we prepaid = $4800. This is apart & separate from the co-pay charges by the gastroenterologist & the anesthesiologist.