PPO Health Insurance Plans Preferred Provider Organization (Please note: we cannot verify the policy if it is not a PPO.)
To find out whether your insurance covers rehab, fill out the online form Above. Determining these estimates won’t cost you a thing and will happen in minutes. Once you’ve finished, expect one of our Crownview Teleheath Institute professionals to reach out and assist you with planning your next steps.
Insurance ConcordanceFiguring out insurance can be both frustrating and confusing, but it doesn’t have to be. To help you better understand the process, Crownview Teleheath Institute created a brief concordance of the most common insurance program terms:
DeductibleThe cost you have to cover for your health care insurance annually before your insurance kicks in and takes responsibility of any further payment. So, if you have $1,000 deductible, you will be required to pay the first grand of your covered services; this may occur in one intensive visit or be spread out over the course of a few routine visits. Once you hit that number, your insurance will cover everything besides copays and coinsurance.
CoinsuranceThe percentage of the cost of a health care treatment or service that you are required to pay after the deductible has been covered. So, if your coinsurance is 10% and your doctor’s visit costs $1,000, you will need to pay $100.
CopaymentThe set cost you have to pay for a covered health care exam, whether surgery, an ER visit, or simply a check-up. The copay may be due prior to or post-deductible payment, contingent upon your specific health insurance coverage plan.
Out-of-Pocket MaximumThe highest amount of money you will have to pay annually for covered services. Once you hit this maximum via deductibles, copayments, and coinsurance, your health care provider plan will cover 100% of any further medical services for the rest of the year.
Policy Effective DateThe date your insurance company will begin to assist you in health care payments. If you wish to enroll in a health insurance plan, you must enroll during:
Open Enrollment PeriodA set period of time that typically occurs in December.
Special Enrollment PeriodsHappens after a special event such as a birth, new job, marriage, or if you have lost health coverage.
Your policy effective date is finalized post-enrollment and generally kicks in a few weeks or months after you’ve enrolled with your insurance provider.