Это видео недоступно.
Сожалеем об этом.
Health Insurance 101: The Basics (Health Insurance 1/3)
HTML-код
- Опубликовано: 15 июл 2016
- In this video, you'll learn the basics of health insurance! We cover what it is, how it works (including deductibles, coinsurance, and out-of-pocket maximums), and much more!
The real problem is 100k for a broken leg that is straight health insurance mafia
Sounds like America
You haven’t even seen how bad it is with psychiatry diseases with biomarkers. Just zero coverage. They specifically exclude ANY treatment, medications, or therapy, or procedure related to them. Seriously, schizophrenia, bipolar, MDD (which is not as common as pharma companies would have us believe) but for some reason they are willing to cover various types of Autoimmune encephalitis if they have the exact same symptoms.
Thank you for this video. I learned more from this 4-minute video than my 2 months college class.
GREAT VIDEO, I have been watching a few of these today, and yours was the best yet. Thanks!
Another invaluable channel, will definitely explore more videos from you, sir. This will help me plan my parents insurance, thank you!
"Susie ONLY paid 5k on a 100k bill!"
Susie can't make rent now but at least she met her out-of-pocket max!!
Well, Susie shouldn't have bought her brand new 40.000$ car and her 2.000$ MacBook.
@@jeanfrancois9811 besides, tell her to stop the avocado toasts habit
@@jeanfrancois9811 Maybe Susie should have been born in a country with a decent healthcare policy instead.
@@jeanfrancois9811 where the hell did Susie get a car for 40 bucks? 😂
the best explanation ive seen yet! thanks
Them college kids needa watch this video. Thank uuuuuu😂
Thank you a lot for this video. This is very interesting and informative. Keep posting like those amazing videos, this is awesome.
this is an awesome explanation of health insurance!
Wonderful explanation! This is very useful information for understanding health insurance. I'm still waiting for national health care!! :) Thanks for sharing this great video! 👍 We follow you now, and hope to be friends! 💝
This vedio is absolutly amazing advice
Good teaching & Nice explanation
Where are you getting the $4,000 from?
Her 20% coinsurance means $1000 out of her pocket for every $4000 the insurance company pays, so 1/5 of the $5000 or 20%.
I'm glad I'm not the only person confused at that
The coinsurance is 20%.... that means after her deductible ($1,000) she pays 20% of the remaining balance ($99,000) until she reaches her out of pocket maximum ($5,000). 20% of $99,000 is 19,800. but because her out of pocket maximum is $5,000 she only has to pay 4,000 more to reach it.
she pays $1,000 for every total $5,000 (leaving $4,000 to the insurer). 1000/5000 = 20%
Easy to understand. Thank you!
Thank You for this video.
Another persistent problem I have noted is that insurance loathes diseases that have no clear biomarkers and are chronic. A great many insurance plans specifically exclude any “psychiatric” disease but would for some reason cover autoimmune encephalitis. Even with AE it’s weird that they will only cover IVIG in an in patient setting rather than out? The discovery of biomarkers is economically necessary to ensure parity for treatment of these diseases.
very informative video
Nice and good video
Good Illustrations
But what happens if she has to do some other treatment in the same year and she has reached her out of pocket maximum?
Then the health plan pays st 100%
What happens when a doctor does not accept your insurance plan????? Because they feel they aren't reimbursed enough I believe.
Jo C. Hello! For this situation, the insurer has the option to submit the medical claim on their own behalf for services rendered. Hope this helps! Let me know if you have any other questions. Thanks!
Super video
very easy to understand
Nice and good vidio.💖💖💖
Good video
Nice video
Very good
Thanks this was very helpful
Wonderful
Completed.
nice video
For her to pay the $4000 coinsurance, it means that $20,000 would be the overall amount paid by her plus the insurance. So after $1000 for deductible AND $4000 paid by her coinsurance, $79,000 remains to be be paid solely by her insurance company, not $95,000 as shown in the video
This is how I understand. How did he get $4000 from 20% of 100,000?
@@travelwithnou that's my question also
@@helovesdata8483 After the deductible ($1000), Susie pays 20% of each additional dollar owed (the insurance company paying the other 80%) until she has paid a total of $5000 (out-of-pocket maximum). In other words, she pays 100% of the first $1000 ($1000), 20% of the next $20,000 ($4,000) and 0% of the remaining $79,000 ($0).
Does the Copay count towards the Out of Pocket amount or does that just depend on what kind of insurance you have?
Normally it does count toward your out-of-pocket. I have been handling health insurance for 2 years now.
@@rosemariepacardo7927 Thank you so much!
@@christy725 ur welcome
does she pay the 25$ on her own or is it split between her and the health insurance or is it fully covered ?
the $25 is all her. that's the co- pay for an appt for example. the insurance will pay the rest, whatever balance there is.
That's a great 😃
How is it possible to meet out of pocket max but not deductible? I've met my max but still owe $76.69 deductible. Now for a procedure I'm told I have to pay the $76.69
Nice
nice
Thanks Health Coach...chaching! Oh but Susie should worry because 20% of Covid inpatient costs can destroy Susie...uh
For every $4,000 they pay she pays $1,000?? Isn't that 25%
No, because it means that she pays $1,000 for every total $5,000 (leaving $4,000 to the insurer). 1000/5000 = 20%
@@oirs288 In example, if there are 20 payments of $5000, that equals the the total of $100000. So for each $5000 dollar payment, insurance pays $4000 and individual pays $1000. So, $100000 divided by $5000 is 20. So, that is 20 $1000 dollar payments for the individual which equates to $20000, which is 20% of $100000. But individual maximum is $5000 dollars, so she stops paying at that amount. That's confusing.
@@oirs288 does this mean if the person has deductible and out-of-pocket fee, i can automatically think that there will be a coinsurance??
stuyvesant gang wya
ok
$1000 for every $4000 is 25% coinsurance?
That’s what I said!
♥️♥️🥰🥰
♥️♥️🥰
im confused why did susie pay 5000 when 20% of 100000 is 20000
Hahahaha I wish this was true. It is cheaper to pay cash then have insurance, thanks to the "affordable care act" that made the insurance costs 4x as much. I am a medical biller and Insurance as gotten so bad. Here is an real life example. I have a special medication that I need to stay alive. I pay 300 dollar premium then roll up to the pharamcy and insurance will only pay for part of the pills because they don't understand my diagnosis. So I pay a percentage of the cost, NO the CONTRACTED rate between the pharmacy and my insurance. So I pay 250.00 dollars. Then I switch to cash pay. I roll up to the pharamcy terrified that if I was only paying part at 250.00 This bill is going to be at least 400.00. Nope, it is 70 bucks. So I didn't pay 300 for the month or 250 = 550 total, I paid 70. Another example with another insurance - 275 bucks for a 6 month supply, not bad for 6 months. Orrrrrr pay cash and pay 27.00. Now this is all fine and dandy till someone gets hurt right. Wrong. Let's say you get in an accident and have to go to the hospital. You have a deductible before your insurance kids in. But to pay towards your deductible you have ot go through insurance. You get xrays, doctor visits, IVs etc etc. The contracted rate for the tylenol you wanted is like 80 bucks. And ever service is inflatted like so. So you get this bill that says 85,000 dollars of hospital bills your insurance is so cool they paid for everything after your deductible of 6,000 and your out of pocket an addiiontal 5, 000, a total of 11,000. So glad you have insurance right. Or you can pay cash and tell the hospital. So what did it actually cost, how about I pay you 3,000. And they will say, okay. One more example in case you know you are still reading, okay 2 more. With a healthshare company you pay cash and then if it is catostrophic they kick in. My brother's 1st child on this plan - hospital delivery and all -500 dollars. His second child, $0. Yes Zero dollars. Okay, one more. My friend had to get an MRI, she waited for the insurance to have an opinion about what the doctor who went to school for at least 8 years decided and verified that she could indeed follow the doctor's order. So she got the MRI, and the contracted rate between her insurance and the imaging center was..... 1900.00. How sad when the same imaging center has a cash price for .... 500.00. And I even know one that is cheaper around the corner with a new machine. But living this way is not for the faint of heart, just don't sit down and be so thankful you found a job with benefits because insurance is worless, and you have to wait to approve what you want, which delays your care. And don't worry if you are poor you can get state insurance that pays for everything, it is great. Don't let other countries tell you our poor pay a lot of medical bills. Doctors pretty much work for free when they see a state insured patient. I will say that the government system of understanding your state insurane is lacking and I do a lot of educaiton for my patients to help them get their state benefits. But the benefits ARE there.
I would say the one exception to paying cash would be maybe cancer treamments and surgery, but even then if you ask what it ACTUALLY COSTS, and neotiate a deal you probalby will save money. I like healthSHARE plans that help with those crazy things but keep costs low. Good luck, and do what you can not to let the government touch your insurance, because the last time they did it cost you 4x as much. I am not anti anything, just telling you like I see it.
Hi
Nice v
It's me I'm Susy
Nc
1,000 deductible and 4,000 out of pocket, like since when the 70's? Or Susie can say, hey Hospital that really only cost you 700 bucks, sound good, okay cool.
😤 The bloody first thing is why a broken leg should cost 100k ??? In that amount u can buy a human being from the third world countries probably in USA too, isn't it??
This is like you have put a gun on the head of person and when he didn't like it, you showed him a Missile, then he felt death by bullet is better at least it's not completely going to wipe him out.
Do Majority of people earn enough in USA to afford 5k out of pocket expenses per person in the family, every year?? People in Europe and India are way better off then in USA.
I just made a TOP Up of my corporate plan with a Rs700 per month (not usd) for my parents, wife 2 children which I don't have and myself. It's around 10USD per month maybe cheaper than that for a coverage of 7lakh per person,which is more than enough to cope up with any major cost and all of us are disease free.
And it has almost all the well equipped Hospitals of Delhi/NCR on it's group, where a lot of People from Europe and US come for major operations. India has developed a lot with a cheaper health plans and certainly we don't have a health care Mafia like USA where 4 mill people are under poverty.
And I don't expect anything from Trump, people can bring this change.
WOAH SLOW DOWN i already lost you.... coinsurance, deductible..... monthly premium
Due to central bankers, corrupt governments, and fraudulent grifting industry tycoons all working together to maintain a modern day slavery system, Susie is broke, even though she works full time. So she (like 99% of everyone else) doesn't have 5000 dollars. She doesn't even have 500. Tell us how this system works again?
this is the worst bob ever
totally agree
totally agree
All Stores 900,000 Please Lower the price of all Brands of Military Equipment and Local for All Brands of Health Care Products and Production Cost Now 900,000 That's Too Much $$$ 900,000 Now The Whole World 900,000 Now 🙏 🤲 🕍 🕌 ⛪ 🛕
Nice video
nice video
Nice
nice video