Read Your Policy
The Evidence of Coverage tells you what is covered and what you pay. Find your deductible, your out of pocket maximum, and your copays.
Read Your Policy
Have you ever read your health insurance policy? Most people have not. The document is called the Evidence of Coverage, and it is available on the insurance company website once you have a login.
The full policy is long, but the part that matters is usually a section of twenty or so pages describing what is covered and what you pay.
What to look for
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The numbers that define your plan: the deductible, the out of pocket maximum, the copay or coinsurance for a doctor visit, and the prescription tiers.
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The difference between in network and out of network benefits. There is normally a separate and larger out of network deductible, and usually no copays at all for out of network services.
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The list of what is covered, so that when a question comes up you know where to go for the answer.
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You can also find a shorter plan description, sometimes called a summary of benefits, on the insurance company website.
Our suggestion
Fold over the corners of the pages that show those main features. When a question comes up later, you can turn straight to them instead of searching the whole document.
If you read it on screen instead, bookmark the page numbers or save the file somewhere you will find it again.
Not Sure What Your Policy Says?
Send us the question and we will read it with you. That is what an agent is for, and it costs you nothing.