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What is copay, coinsurance, and a deductible?

These terms refer to the balance your insurance states as your responsibility, per the insurance contract you renew each year.

  • Deductibles are paid by the member and must be reached each year before insurance pays any of your cost. Each family member usually has a separate deductible.
  • Co-payments are smaller amounts paid by the member each time you visit the doctor or use any medical service.
  • Co-insurance requires you to pay a percentage of your visit fee.
  • Maximum out-of-pocket expense is the most you will have to pay before your insurance begins to pay 100%.
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