Q:

How does the high-deductible Plan-F work?

A:

Quick Answer

Individuals insured with a High Deductible Plan F policy share health-care costs with the insurance company in the form of monthly premiums, out-of-pocket expenses and co-payments, according to BlueCross BlueShield of Illinois. As of 2015, the individual does not receive benefits from this plan until his out-of-pocket expenses exceed $2,180.

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Full Answer

The cost-sharing attributes of Plan F allow the individual to save on premiums, as stated by BlueCross BlueShield of Illinois. As of 2015, the plan pays for most Part A Medicare hospitalization costs, such as a semi-private room, general nursing costs and any supplies and services that are necessary. Under certain conditions, such as a hospital stay that exceeds three days and a move to a Medicare-approved facility, the insured individual may be able to receive coverage for costs accrued from skilled nursing services.

As of 2015, Part B Medicare benefits include coverage for basic medical services, such as in and outpatient treatment and regular physician visits, as claimed by BlueCross BlueShield of Illinois. Benefits also include coverage for surgery, diagnostic services and blood work, especially clinical laboratory services.

The amount of coverage the insured individual receives changes throughout the calendar year, states BlueCross BlueShield of Illinois. Certain Part A and Part B services, such as medical services, may also include a separate deductible.

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