Cash iconMake the most of your deductible plan

Posted on February 11, 2016

Chances are, you’re already familiar with the idea of a deductible.

You probably have a deductible on your car insurance policy—it’s that first $500 or $1,000 you have to pay before your insurance covers repair costs.

Much the same way, your health insurance deductible is a set dollar amount that you must pay out of your pocket before Fallon Health will pay for services.

So how can you make the most of your plan? Check out these tips:

  • When you need to get your car repaired, you can shop around for the best price, so it makes sense to shop around before having a medical procedure done, too. As with everything, costs vary from place to place. Our Fallon SmartShopper tool provides real-time health care cost comparisons. Check out SmartShopper!
  • For every month in which you have accessed services, you will receive a Health Benefits Statement. This statement shows the amount your provider has billed, how much you are responsible for (if any), and how much your insurance has paid. Hold on to your Health Benefits Statements to help keep track of what you have paid toward your deductible so far, and to serve as proof of payment. Learn more about how to read your Health Benefits Statement.
  • Be sure to keep up with your preventive services, like annual physicals and routine screenings. Your deductible does not apply to these services, and in most cases you will not pay anything out-of-pocket.

The deductible amount for your health plan can be found on the first page of your Schedule of Benefits, which is available by logging in to the member portal, myFallon.

Learn more about deductibles in our glossary of terms.

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The information written about in this blog is not intended to be medical advice. Please seek care from a medical professional when you have a health concern.