Secondary Health Insurance to Cover Deductible and Out-of-Pocket Costs

Author

Reads 1K

Person Holding Insurance Policy Contract
Credit: pexels.com, Person Holding Insurance Policy Contract

Secondary health insurance can help cover deductible and out-of-pocket costs, providing financial relief during medical emergencies.

A deductible is the amount you must pay out-of-pocket before your primary insurance kicks in, and it can be a significant burden.

Typically, the deductible for a primary health insurance plan can range from $1,000 to $6,000 per year, depending on the plan and provider.

Having secondary health insurance can help alleviate some of this financial stress by covering a portion of the deductible and out-of-pocket costs.

Types of Health Insurance

There are several types of health insurance that can help cover deductibles. Supplemental insurance plans are designed to pay benefits directly to the policyholder, allowing you to use the funds as you see fit. This can be a game-changer for people who have high deductibles or out-of-pocket expenses.

You can use secondary insurance to pay your deductibles, and plans offering cash benefits can help cover other non-medical expenses like rent, utilities, and transportation costs. For example, if you have a high-deductible health insurance plan, a supplemental insurance plan can help you pay the deductible.

A Health Insurance Spelled on Scrabble Blocks on Top of a Notebook Planner
Credit: pexels.com, A Health Insurance Spelled on Scrabble Blocks on Top of a Notebook Planner

Medicare Supplement (Medigap) plans are a type of secondary insurance if you have Original Medicare, or Parts A and B. They fill the gaps when it comes to Medicare, covering expenses that Medicare doesn't cover. This can include deductibles, copays, and other out-of-pocket costs.

Here are some examples of how Medicare Supplement plans can help cover deductibles:

For instance, if you have a Medicare Supplement plan and you're hospitalized, your Medicare Supplement plan will pay the deductible for you. This can be a huge relief for people who have high deductibles or out-of-pocket expenses.

How Health Insurance Works

Having two health insurance policies means one plan will be designated as your primary plan, while the other is your secondary plan.

Your primary plan processes the insurance claim first and covers the bill up to its coverage limits. This means you won't be covered twice by both plans, and the combined benefits won't surpass the total cost of your visit.

Health Insurance Scrabble Tiles on Planner
Credit: pexels.com, Health Insurance Scrabble Tiles on Planner

If your primary insurance is unable to cover the entire claim, your secondary insurance may cover all or a portion of the remaining costs. However, this doesn't mean you'll be reimbursed multiple times for the same visit.

You may still be responsible for some cost sharing, such as copays or coinsurance, even if you have two health insurance policies. This is because the process of coordination of benefits (COB) is designed to ensure that you don't receive duplicate payments.

Understanding Deductibles

Deductibles are out-of-pocket costs you pay before your primary insurance kicks in.

High-deductible plans can be a challenge, but there are ways to make them more manageable.

It's possible to use secondary insurance to pay your deductibles, making it easier to cover those upfront costs.

Medicare Supplement Plans

Medicare Supplement Plans are a type of secondary insurance that fills the gaps in Original Medicare coverage. They're designed to help you pay for expenses that Medicare doesn't cover.

A Woman wearing Face Mask holding Insurance Policy
Credit: pexels.com, A Woman wearing Face Mask holding Insurance Policy

Medicare Supplement Plans will be the primary insurance after Medicare hospital benefits are exhausted for an additional 365 days. This is a feature of all Medicare Supplement Plans.

If you have a Medicare Supplement Plan, you won't receive a bill from Medicare, your Medicare Supplement insurance company, or the hospital if your inpatient hospitalization costs are covered under your policy.

Medicare Supplement Plans include Plans C, D, F, G, M, and N, which offer Foreign Travel Emergency coverage, making them the primary insurance in this situation.

In general, Medicare Supplement Plans help you avoid receiving bills from multiple sources by covering expenses that Medicare doesn't cover.

High-Deductible Plans

High-Deductible Plans can be a bit of a challenge to navigate, but understanding the basics can help you make informed decisions about your healthcare coverage.

A High-Deductible Plan has a deductible of at least $1,400 for an individual or $2,700 for a family, according to the IRS for 2020. This means you'll need to pay a certain amount out-of-pocket before your insurance kicks in.

From above composition of stack of USA dollar bills placed near medical protective masks produced in China illustrating concept of medical expenses and deficit during COVID 19
Credit: pexels.com, From above composition of stack of USA dollar bills placed near medical protective masks produced in China illustrating concept of medical expenses and deficit during COVID 19

Typically, policies with lower monthly premiums have higher deductibles, while policies with higher monthly premiums have lower deductibles. It's a trade-off, and you'll need to weigh your options carefully.

For example, if you have a deductible of $1,500, and your total medical bills were $9,592, you'd be paying $3,118 out-of-pocket, including your deductible. This can be a significant burden, especially if you're not prepared.

However, there are ways to reduce your out-of-pocket costs. Supplemental insurance, such as accident or hospital indemnity insurance, can help cover your deductible and other out-of-pocket expenses. For instance, if you have a supplemental insurance plan that pays $2,700, you could use this toward your out-of-pocket expenses, reducing your remaining amount to just $418.

Here's a breakdown of how supplemental insurance can help:

By combining your primary insurance with supplemental insurance, you can reduce your out-of-pocket costs and have greater peace of mind.

Purchasing Health Insurance

There are 10 standardized Medicare Supplement insurance policy types available in 47 states.

Medical professional consulting a patient online via laptop for telehealth services.
Credit: pexels.com, Medical professional consulting a patient online via laptop for telehealth services.

You can purchase a Medicare Supplement policy if you already have Part A and Part B plans, and it can help with healthcare costs that Original Medicare doesn't cover.

These policies are sold by private insurance companies, so you'll need to shop around to find the best one for you.

In Massachusetts, Minnesota, and Wisconsin, these policies are standardized differently, so be sure to check the specific rules in your state.

You can use secondary insurance to pay your deductibles, and plans offering cash benefits can help pay out-of-pocket costs like co-pays and deductibles.

These plans can also cover non-medical expenses like rent, utilities, and transportation costs.

Multiple health insurance policies can work together, but one plan will be designated as your primary plan, and the other as your secondary plan.

Coordination of benefits (COB) ensures that your primary plan processes the insurance claim first and covers the bill up to its coverage limits.

If your primary insurance can't cover the entire claim, your secondary insurance may cover all or a portion of the remaining costs.

You may still be responsible for some cost sharing, like copays or coinsurance, even with secondary insurance.

To buy supplemental insurance, you can review plans and choose your options with a company like HealthMarkets, and apply today.

Angie Ernser

Senior Writer

Angie Ernser is a seasoned writer with a deep interest in financial markets. Her expertise lies in municipal bond investments, where she provides clear and insightful analysis to help readers understand the complexities of municipal bond markets. Ernser's articles are known for their clarity and practical advice, making them a valuable resource for both novice and experienced investors.

Love What You Read? Stay Updated!

Join our community for insights, tips, and more.