what is the difference between deductible and co-insurance?
Insurance coverage is keep getting smaller and policy more and more complicated. It differs from company to company.
Can anyone answer my question?
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Answer by Fred S
A deductible is an amount, say $ 200, that you have to pay before the plan starts paying benefits. Co-insurance refers to the % that you are responsible for after the plan has paid benefits. For example, a plan may pay 80% of covered services after you meet your $ 200 deductible with your co-insurance, your responsibility being 20%. Usually when you meet your out of pocket limit for the year, the plan then pays at 100% for the rest of the calendar year. Most plans have an out of pocket limit-- check your plan documents.
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