PQBS Professional Quality
Billing Service
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Frequently Asked Questions

At the beginning of each year, or when offered a different insurance by their  employers, patients ask us questions about their insurance deductibles, co-pays and coverage for services. We hope this will answer some of the most common questions.

Q: What is a deductible?

A: A deductible is the amount of out-of-pocket expense you are required to pay before the insurance company will cover any portion of your medical expenses.


Q: How is my deductible determined?

A: When you signed up for your insurance, you agreed to pay a certain amount for your policy. You also pre-determined how much out-of-pocket expense, or deductible you will pay each year.  This amount is set by you and your insurance company, not by the doctor's office. Often, people choose a high deductible in order to lower their policy premium.  


Q: How do I know how much my deductible is?

A: Your deductible should be shown on your insurance policy. If not, call the customer service number listed on your insurance card and they will be happy to help you with that or any other questions you may have concerning your policy. They can also let you know how much of your deductible has been met.

Medicare recipients now have a $155 deductible, beginning January 1, 2010.

 

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