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You have to understand your insurance plan before you receive a bill from your physician or other medical professional. Call the customer service phone number on your health insurance card and ask:
1. Is my doctor or other medical professional a network provider? Are they on my plan?
2. If he/she is out of my network, what portion of his/her fees will I have to pay out of pocket?
3. If my medical professional is in network, what is my co-pay?
4. Is the service, procedure or surgery covered by my insurance plan?
5. You can also ask the medical biller at your medical professional's office to help you.
6. You should receive an Explanation of Benefits (EOB) regarding your medical service. This will explain what is covered, what isn't and how much you have to pay.
7. Some physician's office will submit your super bill for you, most will not. If you have your super bill, call your health insurance company and ask the above questions. Then you can send in a copy of your super bill with a copy of your health insurance card (send certified with return receipt requested)
Hope this helps! You have to understand your insurance plan before you receive a bill from your physician or other medical professional. Call the customer service phone number on your health insurance card and ask:
1. Is my doctor or other medical professional a network provider? Are they on my plan?
2. If he/she is out of my network, what portion of his/her fees will I have to pay out of pocket?
3. If my medical professional is in network, what is my co-pay?
4. Is the service, procedure or surgery covered by my insurance plan?
5. You can also ask the medical biller at your medical professional's office to help you.
6. You should receive an Explanation of Benefits (EOB) regarding your medical service. This will explain what is covered, what isn't and how much you have to pay.
7. Some physician's office will submit your super bill for you, most will not. If you have your super bill, call your health insurance company and ask the above questions. Then you can send in a copy of your super bill with a copy of your health insurance card (send certified with return receipt requested)
Hope this helps!




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