Does insurance cover emergency room visits?

0 votes
asked Aug 10 in Insurance by Chu88y1 (880 points)
Does insurance cover emergency room visits?

1 Answer

0 votes
answered Aug 10 by Alexxa12901 (11,490 points)
Insurance does cover emergency room visits whether the hospital or emergency room is in network or out of network.

And while the health insurance will cover the cost of emergency room visits you may be required to pay copays, deductibles, or coinsurance depending on your policy.

It is better to have a small or low deductible when you have an injury or illness that requires extensive medical care.

But it's better to have a large deductible when you need more manageable premiums and access to HSAs.

When it comes to deductibles on health insurance a lower deductible plan is a great choice if you have unique medical concerns or chronic conditions that need frequent treatment.

While this plan has a higher monthly premium, if you go to the doctor often or you're at risk of a possible medical emergency, you have a more affordable deductible.

Policies with lower deductibles typically have higher premiums, meaning you'll pay more each month for your insurance coverage.

However, if you have a higher deductible, you may be able to save money on your premiums but may be responsible for paying more out of pocket if you need to file a claim.

If your deductible is higher, it means you are required to pay for your medical care out of pocket up to that amount before your health plan begins to help pay for covered costs.

The exception is for preventive care, which is covered at 100% under most health plans when you stay in-network.

You pay a copay at the time of service.

Copays do not count toward your deductible.

This means that once you reach your deductible, you will still have copays.

Your copays end only when you have reached your out-of-pocket maximum.

If you're in good health, rarely need prescription drugs, and don't expect to incur significant medical expenses in the coming year, you might consider an HDHP.

In trade for lower premiums, HDHPs require you to meet your deductible before you get any coverage for treatment other than preventive care.

106,000 questions

110,954 answers

1,327 comments

7,057,583 users

...