1
out of 5
POSTED: | BY: John
Buyer beware
Buyer beware. I recently purchased a plan with an 80% reimbursement and a $500 annual deductible. I submitted my first claim for $23 which was processed. However, they don't actually apply the full $23 to the deductible. They take 80% of the $23 ($18 in this example) and apply that to the deductible. So, you actually have to submit $625 in expenses before they begin to pay 80%. In all my years of insurance I've never seen or heard of anyone administering a plan like this. It's incredible deceptive. I reviewed my contract and certificate and nowhere in the documentation does it say that's how it's done. They have every right to administer as they see fit but they should be very clear up front about exactly how this works. It's a $625 deductible you are paying for.