What exactly does a Major Medical Adjustment mean?

A Major Medical Adjustment is an unexpected change to your health insurance coverage. It can result in a change in your premium, deductible, coinsurance, or copay.

Major medical adjustments can be good or bad. For example, your premium could go down if your insurance company decides to offer a new discount program. Or your deductible could go up if the cost of medical care increases.

It's important to be aware of major medical adjustments so that you can budget accordingly. You can find out about major medical adjustments by reading your insurance policy or contacting your insurance company.

Here are some examples of major medical adjustments that can occur:

Premium increases: Your insurance company may raise your premium if the cost of medical care increases or if you file a claim.

Deductible increases: Your insurance company may raise your deductible if the cost of medical care increases or if you file a claim.

Coinsurance increases: Your insurance company may raise your coinsurance if the cost of medical care increases or if you file a claim.

Copay increases: Your insurance company may raise your copay if the cost of medical care increases or if you file a claim.

Addition or removal of coverage: Your insurance company may add or remove coverage from your policy. For example, your insurance company may add a new prescription drug benefit or remove a surgery benefit.