一般保險,病人需要付deductible 和out of pocket,都會有max (這個在policy上麵)。
程序上,All the money you pay toward your plan's deductible, once reach the max, you need to pay for coinsurance and copays, go toward your out-of-pocket max。After reach your out-of-pocket max,your plan pays 100 percent for all covered services (NOT YOU).
所以你現在應該做的,是搞清楚:1,deductible + out of pocket,是多少;2,coinsurance in policy,比如90-10,你付10%;3,保險公司到底付了多少,保險公司會有adjustment,你隻需要付保險公司要求的那個數額。
因為你有保險,我理解你不應該和醫生或者醫院談判價格。不知道有誰有例外的經驗。