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TN Health Insurance Terms Health Insurance Terms like "co-payment" and "lifetime maximum" can help determine how much we pay for health care in TN. |
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What is a "co-payment" ? This is a specified amount thay you, the insured, will pay each time a particular health care service is provided. Most prescription drug plans have anywhere from a $5 to $50 co-payment per prescription, depending on whether the particular prescription medication is in the form of a "generic" or "name brand" drug. It is common for most health plans to have a "co-payment" for each doctor's visit, such as $20 or $30. Some PPO health plans pay 100% of approved medical charges, after a specific "co-payment". For Example: Each Hospital Admission - $500 co-payment Outpatient Surgery - $250 co-payment Emergency Room - $100 co-payment Your policy will contain detailed information regarding "co-payments". Make sure you understand what they are. What does "lifetime maximum" mean? This is the maximum your health insurance policy will pay for approved charges during the lifetime of the policy. Once you have met this maximum, no other benefits will be payable. With today's ever changing technology, this is a very important area to consider when purchasing health insurance. Some of the older health insurance programs have a very low "lifetime maximum" (some as low as $250,000). We would strongly recommend that any health insurance policy you purchase have a "lifetime maximum" of at least $5 Million and, even then, there is certainly no guarantee that this amount won't be exceeded.
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We also provide Group Insurance Benefits for small and large businesses in Tennessee . . . Dental/Vision/Prescription Drugs
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Carlton Group Insurance Services, Inc (the Company) is authorized to solicit and transact business on behalf of MetLife® Bank in the state of Tennessee. The Company is currently licensed by the Tennessee Department of Commerce and Insurance to solicit and take applications for life insurance; health insurance; annuities; and auto and home insurance in the entire state of Tennessee. |
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