Good Neighbor Insurance provides international travel medical insurance as well as Arizona medical insurance. Here are some things to consider when purchasing a U.S. domestic ACA (affordable care act) medical insurance plan.
Explanation of Benefits – How to Avoid Errors
An Explanation of Benefits (EOB) is a document sent by your insurance company often months after you had a healthcare service that was paid by the insurance company.
The EOB is a snap shot of your medical billing history. You should review them carefully to make sure you actually received the service being billed, the amount your doctor received and your share are correct, and that your diagnosis and procedure are correctly listed.
Many doctors’ offices, hospitals, and medical billing companies make billing errors from time to time. These mistakes can have annoying and potentially serious, long-term financial consequences. An EOB can also be a clue to medical billing fraud. Your insurance company may be paying for services billed on your behalf that you did not receive.
Some examples of mistakes are double Billing.
You visited your primary care physician (PCP) and had a chest X-ray because of a chronic cough. Your PCP sent the X-ray to a radiologist to be read. The following month you got your EOB and a bill from the radiologist. When she looked at her EOB you notice that both your PCP and the radiologist billed you insurance company to read the X-ray. The insurance company rejected the claim from the radiologist.
Miscalculating Your Coinsurance Amount
You had outpatient surgery on your foot. You have a PPO and pay a coinsurance of 20% for outpatient procedures. Following the surgery, you receive a bill from the surgeon’s billing company for $1000, 20% of the surgeon’s $5000 bill. However, next you received the EOB, noting that although the surgeon billed $5000, he was paid only $3000 by your health plan.
So you do the math and figure you should be paying 20% of $3000, not 20% of $5000. Your health plan confirmed that was correct and you’re able to pay out $600 instead of $1000.
l travel medical insurance as well as Arizona medical insurance. Here are some things to consider when purchasing a U.S. domestic ACA (affordable care act) medical insurance plan.
Good Neighbor Insurance also provides vacation travel insurance for those going on international cruises as well as traveling outside the U.S. Here is our site for the best travel insurance plans, http://www.overseastripinsurance.com/.