== == Coinsurance An arrangement under which the insured person pays a fixed percentage of the cost of medical care after the deductible has been paid. For example, a health plan might pay 80% of the allowable charge, with the enrollee responsible for the remaining 20%; the 20% amount is then referred to as the coinsurance amount. Coinsurance maximum This is the maximum dollar amount of Covered Expenses for which the Member is responsible in a Calendar Year. After that maximum is reached, this plan will pay 100% of Covered Expenses incurred during the remainder of that Calendar Year.
Chat with our AI personalities
Co-insurance is the amount that can be billed to a member or another insurance the member might hold. With medicare, it's the amount that your secondary will get billed and whatever they don't pay you are responsible for. If medicare is your only insurance, that is the amount that you are responsible for.
Coinsurance refers to a type of insurance whereby the insured pays a share of the payment made against a claim.
An insurance plan in which your insurance does not pay the full cost of care but will cover a percentage 80/20