Say my deductible is 1500 and I need a procedure that’s costs $1000 but my insurance will cover 50% before deductible. A few months before the procedure I managed to meet my deductible though does that mean they will cover 100% of it or the 50% still?

If possible try to explain like I’m five

  • mkwt@lemmy.world
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    3 months ago

    If you’ve met the deductible for the plan year, the deductible is now off the table. And presumably you need to look at your policy to see what it covers after the deductible is met.

    “50% before deductible” is an odd term that I haven’t seen in an health insurance policy. Usually, coinsurance doesn’t kick in until after the deductible is met.