{"id":192,"date":"2008-11-06T15:25:18","date_gmt":"2008-11-06T19:25:18","guid":{"rendered":"http:\/\/healthnews.nchealthplans.com\/?p=192"},"modified":"2010-06-24T11:19:45","modified_gmt":"2010-06-24T16:19:45","slug":"what-is-a-deductile","status":"publish","type":"post","link":"https:\/\/www.nchealthplans.com\/news\/2008\/11\/what-is-a-deductile\/","title":{"rendered":"Deductibles and Out-of-Pocket Amounts?"},"content":{"rendered":"

\"\"<\/a>How do health insurance<\/a> deductibles\u00a0and out-of-pocket amounts work?<\/h3>\n

A deductible<\/a> is the amount you must pay before the insurance company begins to pay any policy benefits<\/a>. This is usually an annual amount per insured person, per calendar year.\u00a0 Although typically there will be a maximum amount of deductibles you will have to pay per family in any given year.\u00a0 For example, if your \u201cper person\u201d deductible is $500, and you have five people in your family covered under your health insurance<\/a>, the maximum \u201cfamily\u201d deductible is usually three times the individual deductible<\/a> or $1500.00 in this example.\u00a0 Once three individuals have paid\u00a0the $500 deductible, no more deductibles will apply to any member of the family for the remainder of the year.\u00a0<\/p>\n

\u00a0Out-of-Pocket<\/p>\n

This is the cost one would pay out of their own pocket. An out of pocket expense can refer to how much the co-payment, coinsurance, or deductible is. Also, when the term annual out-of-pocket maximum is used, that is referring to how much the insured would have to pay for the whole year out of their pocket, excluding premiums.<\/p>\n

For more information on health insurance coverage in North Carolina<\/a>, please visit our website at www.nchealthplans.com<\/a> or call our toll free number 888-765-5400 and speak with one of our qualified agents.\u00a0 Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina\u00a0(BCBSNC).\u00a0 <\/a>You may qualify for a 15% healthy lifestyle discount if you are in excellent health.\u00a0 Call us for details.<\/p>\n","protected":false},"excerpt":{"rendered":"

How do health insurance deductibles\u00a0and out-of-pocket amounts work? A deductible is the amount you must pay before the insurance company begins to pay any policy benefits. This is usually an annual amount per insured person, per calendar year.\u00a0 Although typically there will be a maximum amount of deductibles you will have to pay per family […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46],"tags":[23,152,42,53,394],"class_list":["post-192","post","type-post","status-publish","format-standard","hentry","category-health-insurance-terms","tag-bcbsnc","tag-blue-cross-blue-shield-of-nc","tag-deductible","tag-health-insurance","tag-out-of-pocket-expense"],"_links":{"self":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts\/192","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/comments?post=192"}],"version-history":[{"count":23,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts\/192\/revisions"}],"predecessor-version":[{"id":213,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts\/192\/revisions\/213"}],"wp:attachment":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/media?parent=192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/categories?post=192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/tags?post=192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}