Five Health Insurance Terms You Must Know in Ohio - PowerPoint PPT Presentation

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Five Health Insurance Terms You Must Know in Ohio

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Do you know what is: 1) Premium 2) Copayment 3) Deductible 4) Coinsurance 5) Maximum Out-of-Pocket Costs Watch this informative and stay informed. – PowerPoint PPT presentation

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Updated: 18 November 2011
Slides: 9
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Title: Five Health Insurance Terms You Must Know in Ohio


1
www.onesourcebenefits.com
Toll Free 1(877) 549-1212
2
5 Health Insurance Terms you should know
  • in Ohio

Getting to know the Lingo for insurance in
Columbus, Cleveland, Cincinnati, Toledo, Dayton
and Akron.
www.onesourcebenefits.com
Toll Free 1(877) 549-1212
3
Premium
  • Once you have insurance you will have to pay what
    is called a premium. This is the cost of your
    health insurance. You can choose if you would
    like to pay weekly, monthly, bi-annually, or
    annually. After the plan is purchased the premium
    is good for one year.

Advice Choose a lower premium/higher
deductible if you want to save money NOW, and a
higher premium/lower deductible if you want to be
more financially prepared for unexpected medical
expenses LATER.
www.onesourcebenefits.com
Toll Free 1(877) 549-1212
4
Copayment
  • When you go to the doctors you may be required to
    pay a certain amount of money upfront this amount
    is called your copayment or copay. The amount
    will vary depending on the plan you have, but you
    need to be aware that you will have to pay it
    both for office visits and brand name
    prescription drugs.

Note Your copayment does not pay off any of your
deductible, and you have to continue to pay
copayments even after you have paid your
out-of-pocket maximum.
www.onesourcebenefits.com
Toll Free 1(877) 549-1212
5
Deductible
  • Depending on what plan you choose your deductible
    could vary anywhere between 500-5,000 or above.
    A deductible is the amount of money you have to
    pay out of pocket for medical expenses before the
    insurance company starts paying.

Good to know The higher your deductible, usually
means a lower monthly premium.
www.onesourcebenefits.com
Toll Free 1(877) 549-1212
6
Coinsurance
  • After you have met your out-of-pocket maximum
    there is still a coinsurance that you may have to
    pay. The coinsurance is the percentage of the
    cost of medical bills and such that you are
    responsible for after the deductible is met.
    Coinsurance is, like your deductible, something
    that varies per plan. With some plans your
    insurance company will pay 80 of the medical
    costs and you will be responsible for the
    remainder. In other plans the insurance company
    will pay 70 and you will pay 30.

Note The higher your coinsurance, the lower your
monthly premium.
www.onesourcebenefits.com
Toll Free 1(877) 549-1212
7
Maximum Out- of- pocket Costs
  • After reaching your deductible, coinsurance, and
    copayment limit, the insurance company covers
    100 of the rest of your medical bills for that
    year.

www.onesourcebenefits.com
Toll Free 1(877) 549-1212
8
Thank You www.onesourcebenefits.com Toll Free
1 (877) 549-1212
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