Copays, Deductibles and Coinsurance
How do out-of-pocket costs work?
A copay (or copayment) is the flat fee you pay each time you go to your doctor or fill a prescription.
A deductible is the amount you pay each year for most eligible medical services or medications before your health plan begins to share in the cost of covered services.
Coinsurance is the portion of medical costs you pay after your deductible has been met. Coinsurance is a way of saying that you and your insurance plan each pay a share of eligible costs that add up to 100 percent.
Watch the “How to choose a plan in the Health Insurance Marketplace” video for additional explanation.
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