This time of year is full of activities with work, school and obligations with family and friends that keep us running. And, with the holidays right around the corner, it won't get less hectic anytime soon. But don't neglect to check to see if you've used all of your health insurance benefits before your plan resets for the next plan year.
Sleep is a vital component of your overall health and well-being. It's also a health issue that is often overlooked. If you've met your 2016 health insurance deductible or have a flexible spending account balance, now may be the time to schedule Sleep Medicine services, before the year-end rush.
Here are some basic principles you'll want to pay special attention to if you're planning to use insurance benefits to pay for your healthcare services:
Network - The first thing to know is whether a healthcare provider is a member of your insurance company's contracted network. That determines whether the services are considered "in network" or "out of network". Health plans cover out-of-network services differently and benefits can be reduced or unavailable with providers that are not in your insurer's network. FusionSleep is in network with most of the major insurance carriers.
Deductible - The amount you pay for covered healthcare services before your insurance starts to pay. For example, with a $2,500 deductible you pay the first $2,500 of covered services yourself. After you reach that amount, you usually only have to pay a copayment or coinsurance amount.
Out-of-Pocket Maximum - The most you have to pay for covered services in a plan year. Once you've reached your out-of-pocket maximum for your deductible, copayments and coinsurance payments, your health plan pays 100% of the costs for covered services.
Flexible Spending Account (FSA) - If your health insurance plan includes an FSA, you must use your benefits during the year. Benefits do not roll over and you will lose any unused funds at yearend. You'll want to understand how the money can be used and plan accordingly. Be sure to schedule your appointments well before yearend when many others are trying to schedule appointments.
Every health insurance plan is unique and it's always advisable to check with your health plan in advance about the treatment options you're considering. You may also want to ask if you are required to obtain a referral from a primary care physician to see a specialist. At FusionSleep, our Care Specialists are available to help. They'll contact your insurance company, obtain information about your benefit usage and will help you understand your financial obligations. Call us today at 678-990-3962.