direct primary care Raleigh

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Healthcare services come at a cost. Our private pay doctor in Raleigh tackles how patients can benefit from high deductible health insurance in an effort to help patients get the best health care services they deserve at a reasonable price.

A high deductible health insurance plan (HDHP) can save you more money in the long run. This coverage has low monthly premiums but offers high deductibles, as the term implies, than a traditional insurance plan.

How High Deductible Health Insurance Plan Works

According to the U.S. Centers for Medicare & Medicaid Services, the minimum deductible in a high deductible health insurance plan for 2020 is around $1,400 for individual coverage and $2,800 for a family plan. This is the amount you’ll pay from your own funds for medical expenses before you receive a reimbursement from the insurance company. The out-of-pocket expense is capped off at $6,900 for an individual and $13,800 for a family. 

A high deductible health insurance plan is best for individuals who:

  • Do not have too many medical needs
  • Do not get sick often
  • Do not have a large family

High Deductible Health Insurance and Direct Primary Care, Raleigh

If you’re looking to cut expenses on high insurance premiums, this coverage suits you because the premium for HDHP is lower compared to traditional insurance plans. If you’re self-employed, the low premiums can help you save money since you’re going to pay at-cost and still benefit from insurance coverage. Once you’ve reached the deductible amount, however, then you can expect the reimbursement from your insurance

This type of plan is also an advantage for patients availing the services of our direct primary care doctor in Raleigh, where you’ll have to pay 100 percent of the costs of the clinic visits, prescription medications, and other outpatient procedures up to a certain limit. When the limit is met, you get to enjoy 100% coverage. Likewise, you stand to gain more quality care from your doctor who will be focused on healing what ails you or your family member instead of pouring their time following up on insurance collections. 

You’ll also stand to get 100 percent coverage with an HDHP since plenty of preventive care services are covered by this type of insurance. The best part is you won’t be responsible for co-insurance or co-payments, which complicates traditional insurance coverage.

If you have enough cash flow, a high deductible health insurance plan also works to your advantage as this is miles better than having no insurance at all. Some individuals with liquid funds actually compound their HDHP coverage with a tax-advantaged health savings account (HSA). 

Enrolling for High Deductible Health Insurance Plan

The enrollment period for HDHP for 2020 is from Nov. 1 to Dec. 15, 2019. However, some considerations may be accommodated outside of the open enrollment dates if:

  • You are getting married
  • You’re having a baby
  • You lost a health coverage 
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Learn more about the benefits of direct primary care in Raleigh

For more information on the benefits of direct primary care as well as high deductible health insurance and reimbursements, drop by Schneider Medical Group’s Clinic today. We have the friendliest staff and private pay doctors in Raleigh who are more than willing to assist you.

Dr. Schneider’s office provides extended scheduling hours for office visits and a direct 24-hour line of communication every day. Book your appointment online or call us at 919-301-8971.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.