Health Insurance Information
What is a deductible and why is it my responsibility?
Your annual insurance deductible is the dollar amount specified by your health plan to be paid by you each year before insurance payments will be paid to any healthcare provider for non-preventive services. It is possible that you or your employer chose a higher deductible plan in order to pay a lower monthly premium for insurance coverage. When insurance claims are submitted for payment the health plan processes it to see if the services are covered and how much should be paid. Any deductible amount that has not been paid by you will be subtracted from the amount to be paid for covered services. The healthcare provider will bill you for the amount your insurance plan states is "due from patient".
What is co-insurance?
Co-insurance is the portion you will pay for covered medical services after your annual deductible is satisfied. Co-insurance is calculated when your health plan processes the claim for services you received. It is typically a percentage of the amount your health plan allows for each procedure or service.
Why do I pay Co-Pay at my doctor's office?
Co-pay is the set amount of money your health plan designates for you to pay each time you receive specific types of healthcare services. This is most commonly paid at your doctor's office, urgent care or emergency department. This is your portion of the office examination. Additional co-insurance amounts may also be owed if you have tests or procedures during the same visit.
Insurance List for Grady Memorial Hospital, Five Oaks Family Medical Center, Five Oaks Medical Group, Tuttle Clinic, and Rush Springs Family Medical Clinic
+Aetna (Commercial plans only)
+BCBS (Traditional, Preferred, Choice, Options, BlueLincs, +Medicare Advantage)
+Preferred Community Choice
+TriWest (with authorization only)
+United Healthcare (Commercial plans only)
All facilities are Out of Network with the following:
+Aetna Medicare Advantage
+Out of State Medicaid plans
+United Healthcare Medicare Advantage
This list is not all inclusive… Please call the plan to confirm your provider's participation*