Understanding Co-Insurance With a Health Plan
Co-insurance means two parties will be paying for the bill. “Co” means joint, mutual, two, or more. The health insurance company will usually pay the larger amount (example 70%) and you as the member will usually pay the lesser amount (example 30%). This would be considered co-insurance 70/30. This (co-insurance) usually happens AFTER the deductible is met.
A “deductible” is an amount you pay before the insurance company starts paying. Insurance plans will have different “deductibles” $250, $500, $2,000 etc., so read your plan. Think of it like 1st base in a game of baseball. Once you’ve paid all your deductible, you are standing on 1st base. Now you’ll begin to move towards 2nd base – “Co-insurance”. During this time, co-insurance is where you and the insurance company split the medical bills, for example 70/30 or 80/20. Usually, the insurance company will pay the larger amount and you pay the lesser amount.
Your next step is 3rd base or your “Out of Pocket Maximum”. This is the maximum YOU will pay in a year, not the insurance company. Once you’ve met your “out of pocket maximum”, you will no longer have to pay for any future medical services. This also includes the cost of prescription drugs. The insurance company will then pick you up on 3rd base, and carry you to home plate, meaning, the insurance company covers the rest of the bill, no matter how high it is.
Note: This is an annual accrual, meaning it starts over every January 1st and ends December 31st each year.
Getting Help From Nevada Insurance Enrollment
Navigating through the many options of insurance can be confusing and costly. However, speaking with a locally licensed insurance agent will help you to obtain the right coverage you need at a price you should be able to afford. You’ll have peace of mind knowing that you are properly insured when life complications arise. We work hard to find the most competitive quotes for your needs. Contact us today to begin the process of finding the best insurance plan for your family.
Recent Posts
Auto Insurance On A Vehicle With A Salvaged Title
If all you have is a standard salvage title, it can be extremely difficult to get insurance since the car is not deemed legal to drive. It’s recommended that you first get the rebuilt title then work on getting some level of auto insurance coverage.
Auto Insurance For Unique, Exotic, and High Performance Cars
If you own a unique, sports, or exotic car, your driving habits are probably considerably different than most drivers. It makes sense, therefore, that your auto insurance coverage should be different as well. Your auto insurance company uses a vehicle’s make, model, horsepower, size, weight and number of cylinders to classify it as a sports or exotic car.
After an Auto Accident – What Happens If You Need To Sue?
If the amount of money the auto insurance company is willing to pay out does not adequately cover damages, then escalating the situation and starting a car accident lawsuit may be your only option.
Search This Website
Most Popular Pages
By page visits (this month)
#1) Health Insurance Subsidy Chart
#2) Health Insurance
#3) Health Insurance WITH a Subsidy
#4) Insurance Blog
#5) Request a Quote
Top 5 Most Popular
By page visits (this month)
#1) Health Insurance Subsidy Chart
#2) Health Insurance
#3) Health Insurance WITH a Subsidy
#4) Insurance Blog Posts
#5) Request a Quote
Recent Posts
Get Help Enrolling into Obamacare Health Insurance
Come fill out your paper application and we will handle the rest. Meet with a licensed Health Insurance Agent that will help you complete your application.
Video | Health Insurance Explained
Each year, you can only buy Health Insurance during “Open Enrollment“, which is November 1st through December 15th. With Open Enrollment for Individual and Family Health Insurance coming again in November, we wanted to share another educational (but entertaining) video from the Kaiser Family Foundation.
Frustration Continues Over Nevada Health Link
Now that the IRS is involved with making sure you have a “qualified health insurance plan” in place, you’ll want to avoid the penalties if at all possible.
Nevada Health Link Gets New Director + 5 Insurance Companies
There will be a new Director for the Nevada Health Link website and it will now have five health insurance companies selling their health insurance plans.