What is a limited benefit plan?Limited Benefit Plan

 A Limited benefit plan are medical plans with much lower and more restricted benefits than major medical insurance, but with lower premiums.  A Limited-benefit plan include critical illness plans, indemnity plans (policies that only pay a pre-determined amount, regardless of total charges), and “hospital cash” policies. These plans are not regulated by the Affordable Care Act and are not suitable to serve as a person’s only medical coverage.  But in some cases, they can be a good supplement to a high-deductible major medical plan.

Despite various movements to overhaul health care delivery and funding in the US, the standard for providing health insurance is still employer-based. If you do not have “traditional” health coverage through your employer, you may be eligible to elect coverage under a limited benefit medical plan. If your employer offers such a plan, you may be able to receive or purchase important coverage for you and your dependents and in some instances, can fulfill your individual insurance mandate.

A Limited Benefit plan is not a comprehensive major medical plan, nor is it intended to replace a major medical plan. The plan is intended to provide you, and your covered dependents, with basic insurance coverage that is capped at specific amounts for specific services.

Under the Standard BasicCare plan, you may visit any doctor or hospital for treatment, and your enrolled dependents may receive the same benefits as you. BasicCare also offers:

  • Guaranteed acceptance
  • No exclusions for pre-existing conditions
  • No deductibles
  • Negotiated rates when using a doctor within our nationwide network
  • Covered doctor visits, x-rays, lab work, prescription drugs and limited hospitalization

Will I have to change doctors?

No, you are free to use any licensed doctor or dentist, or any certified hospital. However, under the medical plan you can save money by using an Limited Benefit plan in-network provider.

A visit to a podiatrist is a benefit covered by most insurance plans. However, there can be restrictions due to changes in recent health care coverages.

To avoid any additional cost to the patient, Podiatry Group of Georgia will work with your insurance company to get your services covered. Sometimes this requires our office to send in a letter of medical necessity which will state the reasoning behind the recommended treatment and include the patient’s history and diagnosis.

As a courtesy to our patients, we will contact your insurance company prior to your visit to verify that services are covered and that no referrals are required. This allows us to provide you with the best care while making sure you are aware of your insurance benefits for any treatments or services recommended for your specific condition before they are performed.

Seeking Treatment

If you’ve been searching for Foot Doctor for all your foot and ankle needs, take time to meet with the Podiatry Group of Georgia. Our doctor has the experience and knowledge you need to help your feet and ankles feel their best. Give us a call today and set up an appointment for your initial consultation. Call us today.

Call Our Marietta, Georgia Office Today at 404-806-3731 or Book your appointment online now!

Serving Marietta And Atlanta Area!

Contact Us

Phone: 404.806.3731
Fax: 770.321.0001
3901 Roswell Road
Suite 340
Marietta GA 30062

© 2019 The Podiatry Group of Georgia. All Rights Reserved.

| Website Design By MV3Marketing