Texas Health Insurance: a Step Ahead of the Future

policyholder, you will come across the following health insurance jargon:

·         Premium – the monthly payment for the plan

·         Deductible – the money you shell out before the company starts paying your health care or medical expenses.

·         Co-payment – the payment you give from your own pocket to visits to the doctor and doctor’s prescriptions.

·         Coinsurance – in this case, the patient pays 20 percent of the surgery expenses and the insurance company will shoulder 80%.

·         Coverage limits – Some areas not fully covered and the company can only pay up to a certain limit.

·         Out of pocket maximum – the maximum placed on the number of out-of-pocket payments before the company starts paying medical expenses

·         Capitation – the amount paid to a health provider who agrees to service the insured and his group or family members.

·         In-network provider – the selected health care providers of the insurer. This is cheaper than seeking health and medical service providers outside of the insurer’s network.

 

In some cases, health providers send the bill to Texas health insurance companies, provided you commit to pay for the services not covered by the insurance.  Generally, with a health insurance, you pay less compared to the