Are you confused about your Insurance plan?
Everybody is.
We are here to help.
Here is Some Information
Network
The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.
Deductible
The amount you pay for covered health care services before your insurance plan starts to pay.
Co-insurance
The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible.
Co-Payment
A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.
Premium
The amount you pay for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a deductible, copayments, and coinsurance.
Out-of-Pocket Maximum
The percentage (for example, 40%) you pay of the allowed amount for covered health care services to providers who don't contract with your health insurance or plan.
EOB
An Explanation of Benefits (EOB) is a statement that your insurance company sends that summarizes the costs of health care services you received.
Preauthorization
A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
Infomation from nh.gov
An Explanation of Benefits (EOB) is a statement that your insurance company sends that summarizes the costs of health care services you received. An EOB shows how much your health care provider is charging your insurance company and how much you may be responsible for paying. This is not a bill. If you owe money, you will receive a separate bill from your health care provider. Individual EOBs are likely to differ from the example provided.
Contact your health insurance company if you have any questions about your EOB. If you have a complaint or are dissatisfied with a denial of coverage under your health plan, you may be able to appeal the decision or file a grievance.
$500 In-network / $1000 Out-Network
$2200