What does a deductible mean?
When opting for a health insurance plan you are responsible for covering the cost of expenses up to a certain annual amount which is called “deductible”. Once the deductible limit for a particular service is attained you only have to pay a copayment (if any) and the insurance pays the most. A deductible in crux is the amount that members must spend before their insurance begins to cover the cost of medical services.
What refers to the fourth quarter rollover?
The most favorite time to work around a deductible rollover is the “fourth quarter”. The amount employees spend towards their deductible in the last three months of the current year (the fourth quarter) rolls over to the next year. Rollover, in short, implies a lower deductible at the start of the new benefit year.
Rollover advantages of the HSA and FSA accounts
Many employees work with insurance companies around carryover provisions for the benefits of the employees. A carry-over provision helps minimize out-of-pocket health care costs since the employee pays all or part of her deductible for the next year with last year’s credentials. Health spending accounts (HSA) and flexible spending accounts (FSA) also work very well with a rollover for a deductible. HSA and FSA money can also roll-over into the next year, similar to the fourth quarter deductible. The roll-over option for a medical deductible can help the employees save on medical expenditure and spend their money more prudently.
If a member has already paid the full deductible by the end of the third quarter, they may consider using the last three months of the year as an opportunity to make use of their health plan without paying any supplementary deductible. Optimizing the payouts improves overall customer satisfaction concerning health benefits.
Where roll-over benefit is available after you complete 12 months of membership, the members can carry over any unused annual maximum benefit that is not claimed during the previous calendar year into the following year. This makes the policy budget-friendly and easy on the pocket.
Additionally, if your claim is lesser than a certain threshold, you build up a roll-over that will benefit your future medical aid. Employees who have met their previous deductible might suddenly and often unknowingly find themselves working towards a new additional deductible so the employers should always ask their agent about the impact of changing deductibles and ask for proper guidance and understand the new plan.
Conclusion:
The rollover feature is a boon that works by allowing the amount applied to your deductible to be used in the next calendar year and compensate for unexpected medical expenses throughout the year. A proficient medical billing and services firm can help unearth the hidden benefits of deductibles rollover, leading to significant benefits.
Atlantic RCM is one of the leading multi-specialty medical billing companies in USA that serves 25+ major medical billing specialties. Our experts work across your practice in billing, collections and account receivables management, to help you succeed.
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