MANAGEMENT

BUISENESS MANAGEMENT

INSURANCE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A deductible is ____
A
a formal request for payment from the insurance company
B
the price you pay out of pocket from a claim before the insurance company will
C
splitting the cost of the claim with the insurance company
D
the price you pay for the policy
Explanation: 

Detailed explanation-1: -“A deductible is pre-fixed amount of money that a customer bears either out of pocket or from another health policy, for covered services before the insurance plan starts to pay. In other words, the insurance company is liable to pay the claim amount only when it exceeds the deductible amount opted by the insured.

Detailed explanation-2: -The amount you pay for covered health care services before your insurance plan starts to pay. With a $2, 000 deductible, for example, you pay the first $2, 000 of covered services yourself.

Detailed explanation-3: -A deductible is the amount of money you need to pay before your insurance begins to pay according to the terms of your policy. An out-of-pocket maximum refers to the cap, or limit, on the amount of money you have to pay for covered services per plan year before your insurance covers 100% of the cost of services.

Detailed explanation-4: -A deductible is the amount of money a member pays out-of-pocket before paying a copay or coinsurance. The amount paid goes toward the out-of-pocket maximum. Think of your health insurance deductible like your auto insurance.

Detailed explanation-5: -In some instances, insurance companies subtract or deduct – hence the term deductible – the amount from the insured loss before paying out up to the limits of the policy. You can check out the meaning of common insurance industry terms in our jargon buster.

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