- Mar 31, 2011 BH 15 means its a $15 copay when you to a behavior health doctor (psychologist etc) ER 50 means its a $50 copay when you go to the ER, this is usually waived if you are admitted for inpatient care Preventative 0 means you paying nothing out of pocket for preventitive care such as a pap smear, flu shots, vaccines etc.
- Meaning if you start insurance in may, and meet your out-of-pocket max in July, then you will have services covered at 100% coinsurance until December 31st of that year. Insurance is a minefield full of hidden costs and sometimes confusing payment structures. Having little to no costs out of your own pocket is the ideal when it comes to.
Copays and coinsurance A copay is a fixed amount of money you pay for a certain service. Your health insurance plan pays the rest of the cost. Coinsurance refers to percentages. A deductible is an amount you must pay on an insurance claim before your policy benefits kick in. In dental insurance, it is common to have an annual deductible for each individual on a policy, as well as for your family.
When it comes to medical insurance, one of the main factors residents in the UAE look at is how much they have to pay out of their own pocket when receiving medical treatment. Deductibles, also known as excesses, comprise a fixed amount of money that you will have to pay from your own pocket before you can take advantage of the benefits in your medical policy. The deductible amount is also referred to as a co-payment when it is calculated as a percentage of the treatment cost.
The deductible amount varies greatly based on the medical insurance policy you choose. While comparing health insurance plans in the UAE on Bayzat, you will find that deductibles can vary from zero up to 30% co-payment. If your policy comes with a deductible, you will have to pay that amount when receiving treatment at a medical facility. If you are filing a reimbursement claim, you have to pay the entire treatment cost, and the deductible will be subtracted from the claim amount while the remainder will be reimbursed to you.
Generally, there are three types of deductibles available to customers:
Annual Deductible or Excesses
With an annual deductible, the insurance company will not start paying for any treatments until you have paid up to the deductible amount from your own pocket. Let’s say your health insurance policy has an annual deductible of AED 1,000, and your overall medical expenses in the first six months amount to AED 1,500, then you are supposed to pay AED 1,000 while the insurance company will cover the remaining AED 500. In addition, for the next six months, the health insurance company will cover the cost for medical treatments while you pay nothing. Annual deductibles are not very common in the UAE, of the approximately 100 medical insurance plans on Bayzat.com, only a handful (such as Bupa health insurance plans) have an annual excess.
Fixed Deductible per Visit
This type of deductible is very common in the UAE. Usually, the policyholder will have to pay a fixed amount for each outpatient visit to the doctor. This can range from AED 30 to AED 75 per visit. In the UAE, fixed deductibles typically only apply to outpatient treatments, which refers to procedures or doctor visits where you are not hospitalized overnight. With most medical insurance plans in Dubai and Abu Dhabi, the insurer covers in-patient costs (i.e. when you are hospitalized) without applying a deductible.
Co-Insurance or Co-Payment
This is a form of cost-sharing whereby out of the total amount paid for a medical treatment, the policyholder pays a percentage of the cost. Of course, this can be a risky type of medical insurance to purchase if you get very sick or require an expensive procedure. Some health insurance plans might have a fixed deductible per visit, combined with co-payments for specific benefits. In Dubai, it is common to see a 10% co-payment for maternity benefits, and up to a 20% co-payment for dental benefits.
The type of deductible you choose has a direct impact on the premium. For example, if you take a health insurance policy with the exact same benefits except for the fact that one has an AED 30 deductible per visit, while the other has a 20% co-pay, the second option will be 21% cheaper.
Nil Copay Meaning Definition
Health insurance companies in the UAE such as ADNIC, Daman, Dubai National Insurance & Reinsurance (DNIRC), Orient Insurance and Bupa allow customers to choose from several different deductible options. This makes it easier to find a policy within your price range. When comparing medical insurance in the UAE, keep in mind that you can significantly lower your health insurance premium by choosing a plan with a deductible.
Nil Copay Meaning Vs
Related articles: