You schedule a routine ‘preventive’ colonoscopy presuming as a result of health reform, it will be covered at 100%. During the ‘screening’, the doctor finds polyps. Unexpectedly, the coding of your procedure changes from preventive to diagnostic so the charges now apply to your high deductible health plan.
Unless you have “Gap Insurance”, you might be on the hook for $1,000 or more.
Sound familiar? Even the best insurance plans have coverage exclusions. Our advice: carefully explain what is and isn’t covered under the employer sponsored group plan. Then let employees fill in the coverage gaps with voluntary benefits.
Everybody wins. Except the Packers. Darn!