Understanding these key terms can help…
Annual Notice of Change
A letter sent by your Medicare Advantage Plan insurance company that informs
you of changes to your benefits for 2017. It is included in a big package
of material, mailed around the first of October.
Coinsurance
The amount you may be required to pay as your share of the cost for services
after your deductible is reached. Coinsurance is usually a percentage
(for example, 20%).
Copayment
The amount you may be required to pay as your share of the cost for a medical
service or supply, like a doctor’s visit, hospital outpatient visit,
or prescription. A copayment is usually a set amount, rather than a percentage.
For example, you might pay $10 or $20 for a doctor’s visit or prescription.
Deductible
The amount you must pay for health care or prescriptions before Medicare,
your prescription drug plan or your other insurance begins to pay.
Drug Formulary
A list of prescription drugs covered by a prescription drug plan or another
insurance plan offering prescription drug benefits.
Out-of-Pocket Maximum
The yearly out-of-pocket maximum is the highest or total amount your health
insurance company requires you to pay toward the cost of your health care.
Premium
The periodic payment to Medicare, an insurance company or a health care
plan for health or prescription drug coverage.
Need a Primary Care Physician? Contact our referral coordinators who can
help you select a physician. Same day appointments available, call 310-891-6717.