{"id":5455,"date":"2022-01-24T20:35:03","date_gmt":"2022-01-25T01:35:03","guid":{"rendered":"https:\/\/www.medicalofficesofmanhattan.com\/understanding-deductibles-other-health-insurance-terms\/"},"modified":"2023-05-22T06:37:38","modified_gmt":"2023-05-22T10:37:38","slug":"understanding-deductibles-other-health-insurance-terms","status":"publish","type":"post","link":"https:\/\/www.medicalofficesofmanhattan.com\/es\/blog\/understanding-deductibles-other-health-insurance-terms\/","title":{"rendered":"Understanding Deductibles &#038; Other Health Insurance Terms"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Trying to understand your health insurance plan can feel like navigating a maze. It isn\u2019t always entirely clear which providers are eligible for insurance coverage, which procedures are covered under your plan, or how to get the most useful, cost-effective care. If you\u2019re unfamiliar with the vocabulary that health insurance companies use, it can be especially difficult to understand the specifics of how to make your plan work best for you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, it\u2019s important to try and get to know the ins and outs of your coverage and make sure that you select the best available plan for your situation. Not only will this save you from spending more money than you need to or getting hit with unwelcome surprises on your healthcare bills, it can also spare you from the headaches or wasted time that can result from needless back and forth with your insurance carrier. We\u2019re here to help! Here\u2019s a quick overview of some of the key terms relating to health insurance.<\/span><\/p>\n<h2><b>\u00bfQu\u00e9 es un deducible?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">One number that may vary a great deal from one plan to another is the deductible. This is the amount of money that you may have to pay 100% out of pocket over the course of one year before covered healthcare is paid for by your insurance company. In most cases, copayments or coinsurance costs will not count toward your deductible, and preventive doctor visits such as regular PCP check-ups or vaccination appointments are usually covered whether the deductible has been reached or not.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because the amount of out-of-pocket money spent towards your deductible resets at the start of each year, the best plan for you generally depends on how much healthcare you are likely to receive over the course of twelve months. Higher-tiered \u201cplatinum\u201d or \u201cgold\u201d plans will typically have lower deductibles (some even have no deductible) than the \u201cbronze\u201d or \u201csilver\u201d offerings, but will also have a comparatively higher monthly premium.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This means that people who require frequent doctor visits or multiple regular prescriptions may want to choose a plan with a lower deductible, while individuals with fewer care requirements who are less likely to reach their deductible over the course of a year might opt for a plan with a higher deductible and lower premium.<\/span><\/p>\n<h2><b>\u00bfQu\u00e9 es un m\u00e1ximo de gasto de bolsillo?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Este puede parecer un poco m\u00e1s evidente por s\u00ed mismo. Adem\u00e1s de un deducible, algunos planes tendr\u00e1n una cifra separada y m\u00e1s alta que establece una cantidad m\u00e1xima que usted puede gastar de su bolsillo durante un a\u00f1o. Una vez que se alcanza su m\u00e1ximo de gastos de bolsillo, el cien por ciento de los costos m\u00e9dicos ser\u00e1n cubiertos por su proveedor de seguros. Algunos paquetes son planes de \u201csin costo despu\u00e9s del deducible\u201d, en los cuales el deducible en s\u00ed mismo representa el l\u00edmite de gastos de bolsillo.<\/span><\/p>\n<h2><b>\u00bfQu\u00e9 es un copago?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Un copago es la cantidad fija de dinero que se le exigir\u00e1 pagar por diversos servicios cubiertos por su seguro m\u00e9dico. Los copagos variar\u00e1n de un plan a otro y de un servicio a otro; por ejemplo, una visita normal a su proveedor de atenci\u00f3n primaria puede tener un copago diferente al de una visita de atenci\u00f3n de urgencia o una cita de atenci\u00f3n m\u00e9dica mental, etc.<\/span><\/p>\n<h2><b>\u00bfQu\u00e9 es el coaseguro?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Una vez que se haya alcanzado la franquicia, el coseguro determina el porcentaje de los gastos sanitarios que se repartir\u00e1 entre t\u00fa y tu aseguradora. As\u00ed pues, si su coseguro es del 20%, deber\u00e1 cubrir el 20% de los costes, mientras que su aseguradora se har\u00e1 cargo del 80% restante, desde el momento en que se alcance el deducible hasta su l\u00edmite m\u00e1ximo de gastos de bolsillo. Un plan sin costes tras el deducible mostrar\u00e1 0% en el apartado de coseguro.<\/span><\/p>\n<h2><b>Feeling Lost? Don\u2019t Be Afraid to Ask Questions<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">When it comes down to it, everybody deserves to get the healthcare they need without having to worry about what to expect on their bill. We want all of our patients to feel confident and comfortable with their healthcare experience. If you have any questions about using your insurance for an appointment with Medical Offices of Manhattan, please feel free to contact our office.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Trying to understand your health insurance plan can feel like navigating a maze. It isn\u2019t always entirely clear which providers are eligible for insurance coverage, which procedures are covered under your plan, or how to get the most useful, cost-effective care. If you\u2019re unfamiliar with the vocabulary that health insurance companies use, it can be [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5456,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[454],"tags":[],"class_list":["post-5455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Health Insurance Terms Explained | Medical Offices of Manhattan<\/title>\n<meta name=\"description\" content=\"Decode health insurance terminology with our comprehensive guide. Understand deductibles and other key terms to make informed decisions. 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