the_human_being
Gold Member
- Sep 8, 2014
- 15,277
- 2,741
- 290
You have a heart attack and go to the Hospital.
Care begins and lasts whatever.
At the end when all of the dust settles.....your bill may be 100 K.
Your ded can be anywhere from 200 up....you pay that then in most plans co-insurance kicks in at whatever level you have chosen.
Could be 90-10, 80-20, 70-30 or 60-40.
With ACA plans the Max out of pocket for one individual is $6350, $6450 in 2015.
So out of your 100 K bill all you owe is 6350, you also pay 0 out of pocket expenses for the rest of the year (except for premiums)
But I didn't pay $6350 out of pocket. I paid $350.00 out of pocket. I had BSBS self and family. It was employer sponsored insurance, not Obamacare.