If someone has a high-deductible (5,000) plan under the act, how are ER visits treated (CT is the state). I’ve read that ER visits are covered, but I’m not sure what that means. In my mind, covered may mean once you hit your 5,000 threshold, the plan will pay, even though providers may be out of network. I am also wondering if there are different rules so that a person would not have to pay, for example, for the entire visit (say, 3,000 for example).
This is research for a story. The character is struggling financially, was assaulted and went to the ER, then he receives his explanation of benefits. I’m wondering what that would say. For the sake of the story, I want the amount he’s going to owe to make things harder on him.
submitted by /u/jdonnellyesq
[link] [comments]If someone has a high-deductible (5,000) plan under the act, how are ER visits treated (CT is the state). I’ve read that ER visits are covered, but I’m not sure what that means. In my mind, covered may mean once you hit your 5,000 threshold, the plan will pay, even though providers may be out of network. I am also wondering if there are different rules so that a person would not have to pay, for example, for the entire visit (say, 3,000 for example). This is research for a story. The character is struggling financially, was assaulted and went to the ER, then he receives his explanation of benefits. I’m wondering what that would say. For the sake of the story, I want the amount he’s going to owe to make things harder on him. submitted by /u/jdonnellyesq [link] [comments]Read Morer/HealthInsurance