![]() While you will have to pay and claim in most cases if you choose to take co-insurance as a premium reduction option, there are cases where you can use our direct billing services to make life more convenient.Īlthough members with co-insurance cannot access our broader Asia-wide direct billing network, however there is a good news as we do have special panel networks in Hong Kong and Singapore. Can I access direct billing if I have co-insurance? You are always encourage to check on your plan’s benefits schedule to have a better understanding on what medical services co-insurance will apply to. In general, it is applied on consultations with general practitioners or specialists, medications, diagnostic scans and tests as well as others medical services which falls under the outpatient benefit. ![]() On our MyHEALTH plans, co-insurance only applies to treatments that fall under your plan’s outpatient benefits. If you have selected maternity, or dental & optical modules as part of your coverage, co-insurance will also not be applied. For example, co-insurance does not apply to benefits like medical check-ups and vaccinations. If you visit a doctor and receive a total bill of $120, $100 for the consultation and $20 for the medicines & drugs, this is how the co-insurance would break down:Īs an important side note, co-insurance does not apply to everything covered by the outpatient benefits. Once you’ve submitted your claim, it will be processed and 80% of the total covered medical expenses will be refunded. If you have chosen co-insurance for your MyHEALTH policy and you seek outpatient treatment, you will need to first pay for the total cost of the treatment and then submit a claim to us afterwards. How does co-insurance work under your MyHEALTH plan? If you are interested in other ways to reduce your annual premium with APRIL International, be sure to read our article about deductibles, another premium saving option, which applies to the hospitalisation and surgery benefits. By selecting the outpatient co-insurance option on our plans, you will enjoy a substantial deduction in your premium. ![]() It’s a good idea to check the policy documents before taking out a health insurance policy to see whether co-insurance is optional or required, and also to be clear what it applies to.įor APRIL International’s MyHEALTH plans in Asia, we offer a 20% co-insurance option under the outpatient module, sometimes referred to as an 80/20 plan. ![]() When it comes to international health insurance plans, co-insurance may be a built in part of the plan or it might be an option you can take to can help reduce your premium. This is similar, but different to a co-pay, as the costs of co-pay are a fixed amount instead of a percentage of the total covered costs. Broadly speaking, co-insurance is a mechanism where you will need to pay a certain percentage of the total expenses covered by your insurance policy. ![]()
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