Insurance

3. flat fee that a client will pay for every session.
4. a bill that healthcare providers (like Headway) submit to a patient’s insurance provider. This bill contains unique medical codes detailing the care administered during a patient visit. The medical codes describe any service that a provider used to render care.
6. the most money a client will ever pay for services in a plan year for covered services. Higher than a deductible, OOP maxes are associated with copays and coinsurance plans. Once reached, the insurance carrier will cover 100% of fees/costs.

1. refers to the amount the client must meet before the insurance kicks in and pays any portion of their session fees. Deductibles typically reset in accordance with the calendar year.
2. plans cover two or more people. Sometimes, a client’s ins plan states that they have a family deductible and an individual deductible. In these situations, the client’s coinsurance will kick in once they reach their individual or family deductible amount. In other words, they do not need to reach both amounts – once either ded amount is met, their coins will kick in.
5. refers to the percentage that the client is responsible for from the total session cost. This usually applies after a deductible is met.