Questions to Ask Your Insurance Company

When you're dealing with a health issue, the last thing you want to worry about is navigating your insurance policy. To help make your process a little easier, ask your insurance provider the following questions when you're choosing The University of Kansas Health System as your service provider.

  • What type of insurance plan do I have?
  • Is The University of Kansas Health System in my provider network?
    • If so, here are some follow-up questions to ask:
      • Does my insurance plan cover physician costs, as well as inpatient and outpatient hospital services?
      • Does my insurance plan cover prescription medications and chemotherapy medications?
      • What percentage of my bill does my insurance cover?
      • What, if any, are my copayments and/or deductible amounts?
    • If not, ask:
      • Does my plan offer access to The University of Kansas Health System through a national referral network?
      • Does my plan have out-of-network benefits? If so,
        • If I choose to go out-of-network, what percentage of my bill will be paid by the insurance company?
        • What do I have to pay?
      • Does my insurance plan offer any additional coverage through special networks for treating medical conditions such as cancer?
      • Does my policy have an out-of-pocket maximum? If so, ask:
        • If my out-of-pocket expenses reach the maximum, will my insurance carrier ever reimburse at 100%?
          • If so, does this mean my claims will then be paid in full, or will I still be responsible for the difference?
      • Before I see a doctor at The University of Kansas Health System, do I need a referral from my primary care physician? Will I need an authorization from my insurance carrier?
      • Will I be covered for any testing, pathology or radiology charges that may be incurred as part of my initial consultation with a doctor at The University of Kansas Health System?

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