A deductible is the minimum amount the employee must pay before the insurance company will begin to make payments (above and beyond the deductible) for covered medical services. Plans may have both per-individual and per-family (aggregate) deductibles. Every year, the IRS sets new limits. Please see the examples of individual and family deductibles.

When a CDHP member visits a healthcare provider, medical expenses are incurred. The provider sends those charges to the health insurance carrier for adjudication. The carrier applies the negotiated discount and either passes along the charge to the consumer for payment or makes payment to the provider on behalf of the consumer. In either case, the carrier sends the consumer an Explanation of Benefits (EOB) detailing the healthcare transaction. At the same time, the consumer will also receive a bill from their provider, which should match the EOB. As covered healthcare expenses are incurred and paid, they accumulate toward satisfying the annual deductible. If there are any discrepancies, the consumer should speak with their provider and the carrier.

CDHPCoach’s Storage Facility, where the Coach has organized and compiled a vast amount of tools and resources for you to access.

Housed here are key components and information within the book, Bend the Healthcare Trend which was the impetus behind the CDHPCoach.