医疗保险能不能cover肺炎?

匿名
楼主 (北美微论坛)
做好了最坏的打算,查了一下Kaiser的声明:https://healthy.kaiserpermanente.org/alerts/p1/2019-novel-coronavirus-feb-2020

Testing and costs: Kaiser Permanente currently does not recommend testing people who are not showing symptoms of COVID-19 (cough, fever, difficulty breathing). For patients with symptoms who meet the criteria, we will make appropriate arrangements for testing. As a member of Kaiser Permanente, you will not have to pay for costs related to COVID-19 screening or testing. We believe that cost should not be a barrier to screening or testing for our members who may have been affected by this virus. Kaiser Permanente will not charge member cost-sharing (including, but not limited to, copays, deductibles, and coinsurance) for all medically necessary screening and testing for COVID-19. This policy applies to the cost of the visit, associated lab tests, and radiology services at our hospital, emergency department, urgent care, and provider locations where the purpose of the visit is to be screened and/or tested for COVID-19.

In the event you are diagnosed with COVID-19, additional services, including hospital admission (if applicable) will be covered and charged according to your normal plan coverage rules.


没有理解错的话,医疗保险会cover肺炎,万一。。。只是万一

但是我很少看病,也不懂得deductible和out of pocket的区别

有没有大神可以帮忙一下?

谢谢

A
Angela_倩莹
1. 医院不鼓励没有症状的人去做检测
2. 对于有症状的病人,医院会承担检测费用,这笔费用包括看医生,测试,放射科检测,不需要付copay (copay就是你去看医生每次要付的那20或者30刀)。
3. 对于肺炎确诊的病人,入院治疗,将按照保险的coverage 走。保险cover多少就是多少,与其他病症的住院治疗一样。
d
ding-ding乐园
Deductible 我的理解应该是你需要先自费到那个金额,然后保险公司开始按比例分摊你的医疗费用。out of pocket,应该就是到那个金额后,你不用再往外掏钱了,保险公司会全额支付。