The end of the year holds a lot to look forward to, pumpkin spice, turkey dinners, and fancy decorations. But it also means Open Enrollment season for insurance companies. Now is the time when you can change your health insurance plan or company.
You might be surprised to find out that many insurance companies electively choose not to offer and pay for a variety treatments. We want you to get the care you deserve, but it can be hard to know who offers what. So we wanted to clarify some points for you regarding the services and treatments we offer here at Reflex.
All services will fall to your patient deductible until it has been paid in full for the year. Once your deductible has been met insurance will pay for services at the co-insurance rate until the Out of Pocket (OOP) max has been met for the year. Once the OOP max has been met insurance will pay for services at 100%. Some plans count your deductible towards your out of pocket max, but not all do, make sure to check as that can make a huge difference in how affordable you plan actually is.
There are two ways that we’ve seen patients take advantage of this set up. The first is to take care of all your health issues at the beginning of the year. Sure this means you’re paying some bills right after the holiday season, but you’ll quickly knock out your deductible, making your insurance company pick up most of the bills until you hit your OOP max for the year. The sooner you hit that the sooner your insurance company will be picking up the entire tab.
The second thing we see often is that by this time in the year patients have already met their deductible and even OOP max. Which means now is the perfect time to take care of any health issues you may have been trying to wait to see the doctor about. Get your check up, see a specialist, and take advantage of all those chiropractic or physical therapy appointments you’re allotted every year. You won’t even have to pay for co-pays.
Maybe you’re getting older and you need more coverage than you did 5 years ago when you first signed up for your current plan. Or maybe your insurance company as recently made changes to the treatments they cover and they no longer pay for something you assumed was a given. Since the addition of the Affordable Care Act many insurance companies have made drastic changes to their insurance plans, some for the better and some for the worse. Make sure that you are informed and making the best choices for you and your family.
Still have questions about whether now is a good time to come see us? Call to talk with an insurance specialist in our office 503-719-6783.