Frequently Asked Questions

  • 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.

  • You would owe at each appointment the cost of services until the deductible has been met.

    Then you either have a copay or coinsurance.

  • A copay (or copayment) is a flat fee that you pay on the spot each time you go to your medical provider or therapist.

  • Coinsurance is a percentage of the medical cost you pay after your deductible has been met. Coinsurance is a way of saying that you and your insurance each pay a share of eligible costs that add up to 100 percent.

    For example, if your coinsurance is 20 percent, you pay 20 percent of the cost of your covered medical bills.