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Since these MAPD plans are starting to show up more prominently with "Medical Deductibles", I was wondering where these apply since I looked at the SOB of a prominent company and this specific deductible is presented as:
Medical deductible $300 in-network The following services listed are excluded from the in-network deductible:
• Ambulance Services
• Chemotherapy Drugs and Administration
• Diabetic Monitoring Supplies
• Emergency Room Services
• Lab Services
• Medicare Covered Preventive Services (including Immunizations (Flu & Pneumonia))
• Medicare Part B Insulin Drugs
• Other Medicare Part B Drugs
• Primary Care Provider's Office
• Services not covered by Original Medicare
• Specialist's Office
• Urgently Needed Services at Urgent Care Centers
Outside of surgery and related surgical services, where does the deductible apply exactly? And presumably co-pays do not intersect or cross-paths. Meaning whether deductible is met or not, copays live on, and don't count towards the deductible. It would be nice to know where this deductible applies. Gates are open....GO!
Medical deductible $300 in-network The following services listed are excluded from the in-network deductible:
• Ambulance Services
• Chemotherapy Drugs and Administration
• Diabetic Monitoring Supplies
• Emergency Room Services
• Lab Services
• Medicare Covered Preventive Services (including Immunizations (Flu & Pneumonia))
• Medicare Part B Insulin Drugs
• Other Medicare Part B Drugs
• Primary Care Provider's Office
• Services not covered by Original Medicare
• Specialist's Office
• Urgently Needed Services at Urgent Care Centers
Outside of surgery and related surgical services, where does the deductible apply exactly? And presumably co-pays do not intersect or cross-paths. Meaning whether deductible is met or not, copays live on, and don't count towards the deductible. It would be nice to know where this deductible applies. Gates are open....GO!
