Understanding Your Health Insurance: Coverage, Costs, and Claims
Health insurance can be confusing. Here's what you need to understand.
Understanding your health insurance helps you make better healthcare decisions.
Types of Plans
HMO, PPO, EPO, and HDHP plans have different coverage and costs.
Deductibles and Copays
Your deductible is what you pay before insurance. Copays are fixed amounts per visit.
Out-of-Pocket Maximum
Your maximum out-of-pocket cost is the most you'll pay in a year.
In-Network vs. Out-of-Network
Using in-network providers costs less than out-of-network.
Prior Authorization
Some treatments require approval from your insurance company before you receive them.
Filing Claims
Keep records of medical visits and bills. File claims promptly.
Appealing Denials
If your insurance denies coverage, you can appeal the decision.
Understanding Your Explanation of Benefits
Your EOB shows what your insurance paid and what you owe.
Use the End of Life Playbook to understand your healthcare options.