General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsACA Help needed please
So i signed up for an ACA plan I only need for 3 months, as Medicare is coming but I'm confused-
The plan says the most I pay out of pocket is 9K, but if I have a hospital stay, it's 40% coinsurance after deductible.
Wouldn't that be more than 9K if it's say, heart surgery? And if so, can I get a supplemental hospital insurance?
Any help will be appreciated, thanks.
And Happy Holidays!
PoindexterOglethorpe
(26,847 posts)with can answer those questions. Or you may need to read the fine print.
Just_Vote_Dem
(3,195 posts)NameAlreadyTaken
(1,647 posts)That's the most you'll pay out of pocket, period (in addition to your monthly premium). Once you hit that max OOP, the insurance company pays everything including copayments, coinsurance on covered services. I had surgery in August and after paying my copayments and coinsurances I reached my max OOP so everything since is paid 100% by the insurance until the end of this year.
But make sure you go only to doctors, clinics and hospitals that are in network for your plan. Ask each place to verify that. (In an emergency, the in-network requirement doesn't matter.)