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OUT-of-POCKET MAXIMUM and DEDUCTIBLE (SAVE YOU MONEY) - YouTube
Channel: Stephanie Kremic
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Every time you go to the doctor you're聽
gonna get one of these: an explanation聽聽
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of benefits. It tells me what the insurance聽
company is paying for and what they're not;聽聽
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what doesn't my premium cover everything not聽
always. Signing up for health benefits can be聽聽
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overwhelming but it doesn't have to be. Knowing聽
two key components -- out-of-pocket maximum and聽聽
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deductibles -- can make a huge difference when聽
it comes to the cost of your health insurance.聽聽
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I'm glad you're here. This is where I share easy聽
money moves every Wednesday. Be sure to subscribe聽聽
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and hit the bell to be notified when a new video's聽
posted for you. There are three key components to聽聽
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any health insurance plan: premium, deductibles,聽
and out-of-pocket maximum. Today we're going to聽聽
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cover deductibles and out-of-pocket maximum,聽
and by the end of this video you're gonna聽聽
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have the tools you need to choose a plan that's聽
either a high or low out-of-pocket maximum and聽聽
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deductible. For over twelve years I've been聽
working with our clients and their families聽聽
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to influence their prosperity. I'm a certified聽
financial planner professional and the founder聽聽
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of Clear Sky Wealth. Let's get started with聽
those out-of-pocket maximums. Out-of-pocket聽聽
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maximums are the most you have to spend before聽
the insurance company kicks in and starts paying聽聽
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a hundred percent of the costs. Let's say your聽
out-of-pocket maximum is $6,800. Once you reach聽聽
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that $6,800 in medical bills for the year, your聽
insurance company is responsible for the health聽聽
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costs for the remainder of that year. Okay that's聽
pretty straightforward. Now let's add a layer to聽聽
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it. Let's add deductible to the equation聽
of health insurance... Before we dive in,聽聽
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I'd love to know from you, do you sign up for the聽
same health benefits every year or do you sign up聽聽
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based on your needs? Comment below. Now let's dive聽
into those sweet deductibles -- this is the amount聽聽
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that you must pay before the insurance company聽
pays anything at all. In our previous example聽聽
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with out-of-pocket maximums once you hits that聽
number the insurance company's gonna pay a 100%,聽聽
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but first you got to pay your deductible -- t聽
says right here on my explanation of benefits聽聽
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deductible you pay before we begin payments.聽
Wait a second let's take a look at this... we聽聽
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pay a monthly premium to have the insurance聽
THEN pay a deductible before the insurance聽聽
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company pays anything?? That's right. By having聽
health insurance you are a part of a network that聽聽
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saves you some money on a deductible. After you聽
pay the deductible your costs are usually lower聽聽
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for covered services through co-payments and聽
coinsurance, until you reach your out-of-pocket聽聽
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maximum. If you aren't sure what co-payment聽
and coinsurance are we have a link in the video聽聽
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description below. Here's the main takeaway: if聽
you have low utilization of your health benefits聽聽
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you want to seek a plan with high deductible; if聽
you have high utilization of your health plan you聽聽
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want to find a plan with a low deductible. This聽
topic of health insurance is important because聽聽
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insurance is one of our biggest expenses. Don't聽
overpay so that you can have more choice. When聽聽
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it comes to your money we have ways for you to聽
maximize your health benefits and save money. You聽聽
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can find the links to these in the description聽
of this video below. If you like this video,聽聽
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and it's helpful to you, give it a thumbs聽
up, and be sure to subscribe to my channel聽聽
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where you can stay in the know on how to get聽
money working for you. And be sure to comment聽聽
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or leave any questions you have about out of聽
pocket maximums and deductibles and I'll be聽聽
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sure to get them answered in upcoming videos,聽
or right there in the queue. Add the questions聽聽
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and answers below. To get more answers to health聽
benefits visit our website at clearskywealth.com.聽聽
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We have a link in the description below. We聽
hope this video and this information brings聽聽
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you prosperity and your health care planning.聽
I look forward to seeing you soon you!
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