Dual health insurance and max out of pocket

Hello,

I am planning on having a surgery later this year and was wondering how payment for my part would work. Currently I have two medical insurance plans both through Anthem BCBS. My primary is through my employer and I work for a hospital where I will be required to get my surgery done. The second is through my wife. So my primary has a max out of pocket of $2000 that has a $1000 deductible. My secondary has a max of $3000 with a deductible of $500.

Before the surgery I will be have several test done through out the year that require a copy and amount applied to my primary insurance. I was wondering if the amount I’m responsible for that is applied to my primary and then picked up by my secondary will still count towards my max for the primary?

As in >

Medical test $100 billed to me as my responsibility for copay from insurance #1

Then insurance #2 picks up $50 and I am technically only left with $50 to pay at the end of the day.

Would that first $100 still be applied to my max for #1 or would the $50

Sorry for any confusion. My surgery is not covered by #2 but all the pre test and medications are. So that’s why I’m focusing on #1s max

submitted by /u/blknight737
[link] [comments]Hello, I am planning on having a surgery later this year and was wondering how payment for my part would work. Currently I have two medical insurance plans both through Anthem BCBS. My primary is through my employer and I work for a hospital where I will be required to get my surgery done. The second is through my wife. So my primary has a max out of pocket of $2000 that has a $1000 deductible. My secondary has a max of $3000 with a deductible of $500. Before the surgery I will be have several test done through out the year that require a copy and amount applied to my primary insurance. I was wondering if the amount I’m responsible for that is applied to my primary and then picked up by my secondary will still count towards my max for the primary? As in > Medical test $100 billed to me as my responsibility for copay from insurance #1 Then insurance #2 picks up $50 and I am technically only left with $50 to pay at the end of the day. Would that first $100 still be applied to my max for #1 or would the $50 Sorry for any confusion. My surgery is not covered by #2 but all the pre test and medications are. So that’s why I’m focusing on #1s max submitted by /u/blknight737 [link] [comments]Read Morer/HealthInsurance

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