Insurance Basics: Home
Your plan may have different rules and costs for different healthcare settings. In any setting, you may have to pay a copay, and in some cases, coinsurance. But, these may be waived for preventive services like flu shots and mammograms.
Your plan contracts with a wide range of doctors and other practitioners, as well as hospitals, labs, radiology facilities, pharmacies and other providers. These are the providers in your “network”. Each of these providers has agreed to take your plan´s contracted rate as payment in full for services.
To look up the estimated costs for behavioral health services (including mental health and alcohol and/or drug services), go to our home page, fairhealthconsumer.org, and click on Medical and Hospital Costs.
Receiving care from a provider in your health plan´s network usually costs you much less than going to an out-of-network provider.
If you’re planning a trip, the last thing you may want to think of is healthcare. But accidents and
illnesses can happen on the road as well as at home. Here are the basics on using health insurance while
traveling.
An adult day program is a type of long-term care program you go to during the day. Program costs vary, but most aren’t covered by health insurance.