Understanding your "Quote of Benefits" or Patient Balance Statement

Insurance terminology can often feel like a second language. To help you understand your Quote of Benefits email and/or your Patient Balance Statement, we've included a breakdown below of the most common terms you’ll see.

Understanding your Quote of Benefits:

• Deductible: A set initial amount you pay for healthcare services before insurance begins to pay.
• Co-pay: A fixed amount you pay for each visit (e.g., $25).
• Co-insurance: A percentage of the total cost of care that you are responsible for (e.g., 20%).
• Out-of-Pocket Costs: The absolute cap on your total expenses for covered services in a year.
• Cash-Pay Rate: The fixed amount you pay per visit if you are not using insurance (also known as the self-pay rate).

Understanding your Patient Balance Statement

Have more questions about your coverage? We suggest contacting your insurance directly by calling the member services phone number (often listed on the back of your insurance card) to learn more about your plan’s specific mental health benefits.