Senior health insurance: out-of-pocket expense

Senior health insurance: understanding out-of-pocket expense

Senior health insurance: understanding out-of-pocket expense. The reimbursement principle of out-of-pocket expense describes how a public benefit, a supplementary payment and a remaining patient charge interact. The reference reimbursement base must not be confused with the actual medical invoice.

Benefits and exclusions: out-of-pocket expense

For out-of-pocket expense, request an example showing the amount invoiced, the public insurer payment and the remaining supplementary benefit. Percentages of a reference tariff are not percentages of the provider’s entire bill.