Does My Health Plan Have Limits On Visits/Services?

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Common Questions

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This video explains the limitations and allowances within health insurance plans. Below are some helpful key takeaways:

  • Insurance companies may set limits on specific services or benefits, requiring policyholders to cover the exceeding costs.

  • Essential health benefits, including emergency room visits and preventive care, cannot have dollar limits imposed on them by insurance plans.

  • Physical therapy post-injury or surgery is an example where coverage limits are commonly applied.

  • While not everyone will review their insurance plan documents in detail, it's important to be aware that some limitations on services may exist.

  • Policyholders should be prepared to encounter some coverage limitations when using their health insurance for non-essential services.