Coinsurance is a percentage of the cost for covered services that you pay after your deductible has been met.
For example, if you’ve already paid your full deductible for the year, then you might pay 15% of the cost for a covered service while your insurance company pays the remaining 85%.
Coinsurance does not count toward your deductible because, in most cases, you don’t pay it until after the deductible has been met.
However, coinsurance usually does count toward your out-of-pocket maximum.
How do I know what my deductible is?
Deductibles can vary widely, depending on your insurance company and the specifics of your insurance plan.
Here are three ways to find out what your deductible is:
Check your plan documents: Your paper or digital copy of your plan documents should clearly specify what your deductible is.
Use your online portal: Most insurance companies have an online portal where you can access your plan details and find out what your deductible is.
Contact customer service: If you can’t find your deductible or are unclear on the details of your specific plan, you can always contact your insurance company directly. Their customer service phone number is likely available on their website, and it’s usually printed on the back of your insurance card as well.
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