Deductible: This is the amount you will have to pay out of your pocket each year before the insurance begins to cover. Usually, these reset yearly.
Copayment: Your copay is often the set amount of money you will have to pay for a specific purpose. For example, you may have a $30 primary care copay, meaning you will pay $30 every time you go and visit your primary care doctor.
Premium: This is the monthly cost of your insurance plan that you pay for. Generally, the higher the premium, the lower the deductible and out-of-pocket costs.
Coinsurance is usually the percentage you’ll pay out of pocket compared to what insurance will cover.
Beacon HMO Plan Level
The Beacon Health Maintenance Organization plan is cost-effective for those needing inexpensive health insurance options. One drawback to this plan is that while it has low premiums, the deductibles are much higher, and you may have limits on which treatment providers you can see. Additionally, you may be required to get referrals from a PCP to see additional providers.
Beacon POS Plan Level
The Beacon Point of Service plan is one step from the Beacon HMO option. This plan will offer a lower deductible with slightly higher monthly premiums than the HMO plan. However, with this plan, you may be given additional out-of-network options. This may allow you to see healthcare providers outside your network, with or without a referral from a PCP. Out-of-network services may have an additional charge.
Beacon PPO Plan Level
One of the most commonly held plans is the Beacon Preferred Provider Organization plan. This plan will have a much lower deductible than the first two and higher monthly premiums. However, with this plan, you can choose between in-network and out-of-network services, which may still have an additional fee. You will not need referrals from a PCP to get additional treatment in this plan.
Beacon EPO Plan Level
The Beacon Exclusive Provider Organization plan is the highest monthly cost of all available Beacon plans. However, you will likely have little to no deductible that must be met before the insurance begins to cover treatment.
– Detoxification services, including medication-assisted treatment and medication management
– Inpatient treatment or residential treatment
– Transitional programs like partial hospitalization programs
– Outpatient rehab or intensive outpatient program
– Sober living and other continuing care options for post-discharge
– Dual diagnosis treatment for mental illness or secondary mental health disorders in addition to substance abuse
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