Insurance question
My insurance says $0 copay $1000 deductable 50% you pay. Does that mean next month im full cost on all my supplies or do I only pay 50%? Im confused honestly
Comments (8)
Generally this means that you will be on the hook for the first $1,000 before they pay anything.
Then you will pay nothing for anything the copay applies to and 50% for anything that requires coinsurance
Appreciate the response. Been trying to prepare for the cost thats gonna hit in a couple weeks
Supplies as in…..? I buy needles and syringes over the counter with my FSA. My sensors are covered by my insurance under the prescriptions part. Only time I’m contributing to the deductible is when I do doctor visits.
Dexcom novalog and my toujeo. Not sure if my Dexcoms are considered prescription part or not. All these show on my claims page.
They’re usually prescribed so they should be counted as such.
Ya ive got a prescription for all and cant get them early without insurance approval. So with that being said does that mean ill continue on my 50% of cost or pay 1000$ then just be hit with half?
Before you meet the $1,000 deductible: you pay the full negotiated cost for covered supplies and services. Insurance doesn’t pay anything yet.
After you meet the deductible: insurance starts paying its share usually 50% and you’re responsible for the other 50% as coinsurance, not the full amount anymore.
Honestly, if your supplies are expensive, it might be worth looking into secondary insurance that could help cover that remaining 50%.
Check with insurance company