When dealing with a private provider, insurance can be a confusing and sometimes frustrating element in fulfilling home healthcare needs. Understanding coverage guidelines and filling out the proper paperwork can pose an ongoing challenge. Wheelchairs, hospital beds and other durable medical equipment can be a costly one-time investment; less expensive single-use soft goods, like feeding tubes and ostomy products, can add up over time.
When deciding on coverage, there are some basics to keep in mind, according to U.S. News. Initially, it is important to find a plan at an affordable price. From there, identify each company’s definition of terms like premium, deductible, copay, and coinsurance. Finding a plan that suits your unique needs can save you thousands of dollars every year. See the list below to learn the basics; refer to U.S. News’s Best Health Insurance Plans for more detailed information.
1. Identify the “must-haves.” If there’s a history of a specific disease in your predisposed for, or you’re considering starting a family, ensure coverage in these areas.
2. Don’t overbuy. Considering a plan with a higher deductible can save you money on a monthly basis.
3. Check the network. If you’ve been seeing the same doctor or have been going to a particular clinic for a while, find out which network they’re in to continue being cared for in that location.
4. Know your share of the costs. This takes the form of paying out of pocket, copays and coinsurance, a form of “cost-sharing” in which you pay a percentage of a medical service.
5. Make sure your drugs are covered. You’ll want to make certain that the plan’s formulary, or list of covered medications, includes those you take regularly, especially if they are expensive.
6. Look into annual limits on coverage and services.
7. Factor in your dependents. Children under the age of 26 without health insurance coverage through an employer, are permitted by law on your insurance, and dependents under the age of 19 cannot be excluded on the basis of pre-existing conditions.
8. Walk through several plans. Weigh your options, and the pros and cons of individual plans. This can take much less time than you’d imagine – and can save you time, money and possible frustration in the long run!
At Symbius Medical, we have always put the customer first, and for this reason, our knowledgeable customer service department strives to help you make sense of the process, and we routinely work with insurance providers to accurately complete paperwork. Our customer service department will gladly verify your insurance, obtain any necessary authorizations and we will even take care of processing your insurance claim with your primary or secondary insurance provider. On our website, you’ll find a sampling of the numerous insurance providers we partner with.