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Help for question 4
What is the plan's most common coinsurance among these three services:
1. Primary care visit to treat an injury or illness,
2. Diagnostic test, and
3. Durable medical equipment?
Where to look
You will find all three services listed under "Common Medical Events" and "Services you May Need" on the Summary of Benefits and Coverage.
Only look at amounts for a single person (or individual) using a preferred (or in-network) provider.
How to answer
If you see |
Answer like this: |
---|---|
The same coinsurance amount for at least two of these services Examples:
|
Fill out Question 4 with the coinsurance amount you see most often. |
Different coinsurance amounts, or copays and coinsurance
|
Fill out Question 4 with the highest coinsurance amount you see. |
Copays for all three services | Skip Question 4. Go to Question 5. |