Simply add the deductible amount of $ 1,000 to
the coinsurance dollar amount of $ 1,000 to calculate the maximum out - of - pocket limit of $ 2,000 for the calendar year.
Not exact matches
Because if you want a $ 400 breast pumping kit and your plan only reimburses $ 170
dollars, then you will be required to pay the difference between the $ 400 and the $ 170, PLUS any
coinsurance and deductible amount required by your plan on the covered $ 170.
A reputable major medical insurance policy will also include a «stop - loss» (defined below), that limits the
dollar amount of
coinsurance that an insured must pay in a given year.
Stop - loss — The
dollar amount of annual medical expenses that the insured is limited to paying in
coinsurance.
Unlike traditional insurance, where you are responsible for paying co-pays and
coinsurance, Health Benefit Insurance offers «first
dollar coverage», which provides you more flexibility for managing health care expenses.
That leaves you paying not only a copay or
coinsurance for the test or visit but the full
dollar amount.
Cancer treatments easily cost thousands of
dollars, and while your 20/80
coinsurance rates may seem reasonable on a $ 100 bill, a $ 300,000 charge can bankrupt the average person.