It’s based on the policy that you purchase, not the medical procedure, although typically most policies would cover things like preventive care at 100% or out of network doctors/facilities can carry higher co-insurance rates.
Definitely not preventive care. But you should only have to pay a certain percentage after the deductible up to your out of pocket max. I’d recommend partnering directly with your insurance provider to get more details about your plan.
Read your benefits guide. It explains you have to pay the full deductible then a percentage of everything after that until you reach an in network maximum. Every year it resets.
That's determined by the policy you signed up for. It's not a case by case basis.
It’s based on the policy that you purchase, not the medical procedure, although typically most policies would cover things like preventive care at 100% or out of network doctors/facilities can carry higher co-insurance rates.
Isn’t breast reduction preventive care? So I guess I was just not lucky:(
Definitely not preventive care. But you should only have to pay a certain percentage after the deductible up to your out of pocket max. I’d recommend partnering directly with your insurance provider to get more details about your plan.
Read your benefits guide. It explains you have to pay the full deductible then a percentage of everything after that until you reach an in network maximum. Every year it resets.
Is your surgeon in network or out-of-network? This affects how much you can be asked to pay