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Jan05Bride Posted:

Re: someone explain health insurance to me.....

I just went through this with my HR department, trying to understand our plans ...

I still don't! It's all very confusing.
ChristineC68 Posted:

Re: someone explain health insurance to me.....

Did you need a referral?
Was it considered an emergency that needed to be reported to the insurance company?
Did you pay your co-payment?
brideinapril Posted:

Re: someone explain health insurance to me.....

Some insurance companies only cover a certain percentage.

Jan05Bride Posted:

Re: someone explain health insurance to me.....

Call your insurance company and ask them why it wasn't covered ... it may just need to be resubmitted.

wc0143 Posted:

Re: someone explain health insurance to me.....

Did they pay any part of it? Do you have to submit to get a portion paid? Do you have a deductible that hasn't been met yet?
princess99 Posted:

Re: someone explain health insurance to me.....

It could be a mistake... or it could have went towards your deductible. I work in a doctors office ... and sometimes I have problems understanding the EOB's, (Explanation of benefits)and that is after 13 years!!!! Call your insurance carrier.

dm24angel Posted:

Re: someone explain health insurance to me.....

A;ways call...sometimes you can get that pid if its out of network but not your choice. It happens a lot with hospital visits.

Also there are a million plans...your employer picks the plan and sometimes the plans like yours with $100 deductible and 10% co-inusrance is because you then pay less for the insurance policy itself( more out of pocket for you, so thus less cost insurance plan)

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