A catastrophic limit is a cap,
set by your insurance policy, on the amount of
out-of-pocket expenses you’ll pay. There
are several options regarding this limit and it’s
important that you understand what qualifies -
and what doesn’t.
The cap may be limited to a specific event or
illness. For example, if your insurance policy
has a $50,000 cap and you’re share (for
whatever reason) on a heart procedure is to be
$55,000, the catastrophic limit means that you’ll
only pay the $50,000 and your insurance will pick
up 100 percent of the cost after that. However,
if you then have a stomach surgery, the catastrophic
illness clause may require that you again meet
that limit before the insurance begins picking
up the entire tab for that incident. It’s
unlikely that anyone would face two such devastating
illnesses, but it’s something to consider
when you’re choosing your insurance police.
The cap may also refer to an individual or an
entire family. In that case, you may know that
your insurance is going to begin picking up 100
percent of the cost of health care after you’ve
paid out $50,000 on your entire family. Depending
on deductibles,
co-payments and other factors,
this could be an important option as you’re
considering a health insurance plan. Ask your
broker
for details before you sign on the dotted line.
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