Health Insurance 101 We all know how complex and confusing health insurance can be. Below are some common terms and definitions to help you better understand what you have to pay and when. Please look at your plan documents outlining your WEA Trust health plan for specific plan information. ▸▸ Benefit year: A benefit year, also called a plan year, is a 12-month period during which you have insurance coverage. ▸▸ Premium: A premium is a monthly payment made to your insurance company for your health insurance coverage. You may pay the insurance company directly, or your employer may deduct money from your paycheck and pay the premium to the insurance company on your behalf. ▸▸ Co-pay: A co-pay is a fixed dollar amount that you pay for certain services (e.g. office visits, prescriptions) each time you have that service. ▸▸ Deductible: A deductible is the amount you pay to your doctor or pharmacy for covered services each benefit year before your WEA Trust health insurance begins to pay. ▸▸ Co-insurance: Co-insurance is a percentage of the cost of a covered service that you pay to your doctor. For example, if your co-insurance is 20% and your bill is $100, you pay $20 and WEA Trust pays $80. Your WEA Trust health plan pays the remaining share. You do not start to pay coinsurance until after you have finished paying your deductible.
Example: UP TO
$1,000
DEDUCTIBLE
YOU PAY
UP TO
YOU PAY
20%
$5,000
100%
OUT-OF-POCKET PLAN PAYS MAXIMUM
AFTER DEDUCTIBLE REACHED
80% COINSURANCE
AFTER OUT-OF-POCKET MAXIMUM REACHED
PLAN PAYS
100%
THROUGH END OF YEAR FOR COVERED SERVICES
▸▸ Maximum Out of Pocket Amount: The maximum out of pocket amount is the most money you will have to pay each benefit year for covered medical expenses as outlined in your plan document. This includes the amounts you pay for copays, deductibles, and coinsurance. It does not include your monthly premium. Once the amount of money you have paid equals your maximum out of pocket amount for that benefit year, your WEA Trust health plan will pay 100% of covered services for the remainder of the benefit year.
45 Nob Hill Rd, Madison, WI 53713 800.279.4000 WEAtrust.com
For example, if your co-insurance is 20% and your bill is $100, you pay $20 and WEA. Trust pays $80. Your WEA Trust health plan pays the remaining share.
Oct 12, 2017 - upcoming cuts to funding for navigator programs, policy-makers may wish to know more about their effects (Jost, .... a doctor prescribed (Foundation, 2016). ... survey with people taking public buses in Durham, North Carolina.
Mar 18, 2018 - first open enrollment period more than 28,000 full-time-equivalent staff and volunteers across over 4,400 assister ..... ketplace websites during the first and second open enrollment periods and reached a similar ... premiums, such as
Women's Imaging Center. St. Mary's Hospital | 1300 Massachusetts Ave., Troy. For more information and to schedule a screening, call (518) 525-8680. October ...
Page 1 of 3. https://sites.google.com/site/healthinsurancedallastx. If you're looking for the best insurance quote for you, you have a lot to consider. There are ...
accountable and efficient program of necessary services for those in need. Anchorage. Project Access is a free or low cost short term healthcare program for low ...
Sep 10, 2012 - (PAO), Secretary to Government-Information Technology and Communication department (Secretary IT&C), Commissioner Civil Supplies and Ex-Officio. Secretary to Government (Civil Supplies and Consumer Affairs), District Collectors and Hea
Sep 10, 2012 - The Pay & Accounts Officer, Hyderabad. All the District Collectors. All heads of Departments. Copy to: All the Secretaries /Prl. Secretaries / Spl. Chief Secretaries to Govt. in Secretariat. All the employees and pensioners association
... Tech Industry Security Hardware Apple and WindowsNow more than ever itââ¬â¢s ... the site please help us classify the good from the bad by voting on this site.
VP, Government & Community Affairs. New York-Presbyterian Hospital ... Who pays for the uninsured today? Isn't it the uninsured's own fault they don't have ...
ACA_ACA Employee Notice - New Health Insurance Marketplace Coverage.pdf. ACA_ACA Employee Notice - New Health Insurance Marketplace Coverage.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying ACA_ACA Employee Notice - New Health Insurance