There might be a better sub for this but this is the first one I thought of.
I was asking my insurance rep about some services I received and they gave me this line:
As long as you see in-network provider, the benefits will be considered at 80% of the allowed amount subject to the $3,000.00 family comprehensive benefit period deductible.
I am on a High Deductible plan. This allows me to have an HSA which I usually put the maximum per year into.
So the way I understand this is until I have paid out of pocket $3000 for this benefit year, they will not pay any towards the bill? And then when I hit my deductible they will pay 80% past that?
Also my company steps in and pays more after my insurance has stopped, but I am not close to that yet.