This video explains the limitations and allowances within health insurance plans. Below are some helpful key takeaways:
- Insurance companies may set limits on specific services or benefits, requiring policyholders to cover the exceeding costs.
- Essential health benefits, including emergency room visits and preventive care, cannot have dollar limits imposed on them by insurance plans.
- Physical therapy post-injury or surgery is an example where coverage limits are commonly applied.
- While not everyone will review their insurance plan documents in detail, it’s important to be aware that some limitations on services may exist.
- Policyholders should be prepared to encounter some coverage limitations when using their health insurance for non-essential services.