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Need help on insurance Out of pocket


Warangalbidda

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Bhayya’s ipudu medical bill $100,000 ayindi anuko. OOP Max in network for family $7000 and out of network $14000 undi manam bill motham lo $14,000 eh pay chesthama ?? Or do I pay more..

experts suggestions please 

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If those 100k includes only costs to all the treatments covered by your insurance, then yes $7k max in network and $14k max out of network.. if not then aa uncovered treatments cost nuvvu pay chesukovali

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yes, max you will pay for In network/out of network will be as per OOP.

However , as post above mentioned, if you are spending on something that is not covered etc , that will be outside of OOP/Insurance , you may need to talk to Hospital for an 'Uninsured discount' etc and then pay it

Also , 100,000$ bill amount unte , Insurance negotiated amount oka 30-40k untundi emo , Insurance will then pay it based on your Deductible , Coinsurance and out of pocket. If anything is not covered then it will be separate.

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