Navigating insurance and healthcare payments can be confusing. This guide aims to simplify the process by explaining common insurance terms.
- Copay: This is the fixed amount you pay for a covered healthcare service, typically due at the time of service. There are additional costs like deductible and/or co-insurance that you may be responsible for based on your insurance policy.
- Deductible: This is the amount you must pay out-of-pocket for covered services before your insurance starts to pay. If you haven’t met your deductible yet, you’ll be responsible for the full cost of the services until you do.
- Co-insurance: After you meet your deductible, you might still be responsible for a percentage of the costs for covered services. For example, if your co-insurance is 20%, you will pay 20% of the covered service costs while your insurance covers the remaining 80%.
-
Non-Covered Services: Insurance plans vary in terms of what they cover. If a service or procedure is not covered under your plan, you will be responsible for the full cost of that service.
Please note that Talkspace does not have access to your individual insurance plan benefits and cannot confirm your final costs before a claim processes. Your health plan provider would your best resource for obtaining personalized information regarding associated out-of-pocket costs.