Sentences with phrase «coinsurance for»

This policy offers significant protection with 20 % coinsurance after deductible, a $ 5 - 10 copay for Tier 1 medications and bonus coverage like 20 % coinsurance for chiropractic care.

That leaves you paying not only a copay or coinsurance for the test or visit but the full dollar amount.

For example, all standardized silver plans in the federally - run exchange will have $ 3,500 deductibles, $ 30 primary care office visit copays, and $ 15 / $ 50 / $ 100 copays for generic / preferred brand name / non-preferred brand name drugs (coinsurance for specialty drugs will be 40 percent for standardized silver plans).

For example, if you have 30 % coinsurance for inpatient hospitalization and your hospital bill is $ 10,000, you'll pay $ 3,000; your insurance company will pay $ 7,000.

This plan shall pay up to $ 20,000 for those up to age 65 and $ 10,000 for those age 65 and over subject to the chosen Deductible and Coinsurance for Covered Expenses resulting from a sudden, unexpected recurrence of a Pre-Existing Condition while traveling outside the Covered Person's Home Country.

Once you have reached your deductible, you may no longer have any responsibility for coinsurance for the rest of the term of your policy (usually through the end of the current fiscal year).

For example, if you have a 20 % coinsurance for hospitalization, this means that you pay 20 % of the cost of the hospitalization, and your health insurer pays the other 80 %.

Cost - sharing reductions help lower your out - of - pocket costs for deductible and coinsurance for specific medical expenses like prescriptions and doctor's visits.

After you pay your deductible, you usually pay only a copayment or coinsurance for covered services.»

For example, say you have a health insurance plan with no deductible, but instead has a 20 % coinsurance for all services.

Let's say your plan has a $ 0 deductible, a $ 30 copayment for doctor's visits, and a 30 % coinsurance for every other service.

Let's say you have a health insurance plan with a $ 2,000 deductible, a 30 % coinsurance for all care after the deductible, and a $ 5,000 out - of - pocket limit.

The coinsurance for hospital stays (60 - 90 days) is $ 335 per day.

Make sure you understand the limits and deductibles of each policy, along with the copayments and coinsurance for health insurance.

There is no coinsurance for preventive care and screenings.

For example, if your doctor recommends another screening after your mammo, you may have to fork over a co-pay or coinsurance for the follow - up.

That's right, no copayment or coinsurance for your appointment, just protection from the flu — whether you've hit your yearly deductible yet or not.

Second, the deal bars insurance companies from charging copayments or coinsurance for either screening mammograms or follow - up diagnostic imaging.

Nor does it affect copayments and coinsurance for treating breast cancer, as opposed to screening for it.

Not exact matches

It's important to note that the discounted rate for your in - network doctor or other provider should be the starting point for any coinsurance or deductible you are responsible for.

Or if you have coinsurance of, say, 20 percent, you're responsible for that percentage of $ 100, not $ 200.

In addition, the ACA requires new private health insurance plans, including those available in the new health insurance marketplaces, to provide coverage for specified women's preventive health services with no cost sharing (e.g., copayment, coinsurance, or deductible).

In fact, state - regulated health plans are obliged to pay for the procedure without applying a copayment, coinsurance, or deductible.

But for small group and individual policies, copayments and coinsurance are already banned for screening mammograms because of how New York implemented the Affordable Care Act.

«DFS has previously directed health insurers to cover depression screenings for pregnant and postpartum women without copayments, coinsurance, or deductibles.

Many consumers still struggle with the complexity of health insurance terminology, which results in confusion regarding the difference between the subsidy / tax credit, the monthly premium, copays, coinsurance, deductibles, in - network and out - of - network, and what this means for consumers» out - of - pocket costs, according to the analysis.

The low - risk approach for paying medical bills for credit card rewards entails charging your copayments, coinsurance, and annual deductible.

This is especially true if your income range falls under the threshold that will qualify you for cost sharing reductions that further reduce your copays, coinsurance and deductibles.

Even though Medicare will take care of a big portion of your medical expenses after you retire, you'll need to set aside money for Medicare deductibles, Part B premiums and coinsurance, and Part D prescription - drug coverage and out - of - pocket costs — plus health care expenses Medicare doesn't cover.

You are allowed to use the money to pay for long - term care insurance and, if enrolled in Medicare, to pay deductibles, co-pays and coinsurance.

The IRS has a long list of what is considered a qualified medical expense, but it can be something as simple as paying for a doctor's office visit, meeting the deductible and coinsurance amounts or dental work.

Using the free online Coinsurance Calculator makes it ultra easy to calculate the payout for a home insurance claim.

Patients are responsible for any co-payment or coinsurance costs above and beyond the programâ $ ™ s annual maximum benefit

Yes, the Trupanion policy covers 50 % of the cost of prescription pet foods, less the deductible and 10 % coinsurance, when recommended by your veterinarian for the treatment of covered injuries or illnesses for up to two months of feeding.

Even when you have coverage, you will still be responsible for paying your deductible and any applicable coinsurance, which can be expensive.

Different insurers offer different types of plans, so your cost for the plan (premium), the drugs covered, and your out - of - pocket expenses for prescription drugs (copayments, coinsurance and deductible) will vary.

Because of the many «gaps» in Medicare's coverage — such as copayments, coinsurance, and deductibles — the out - of - pocket expenses for Medicare enrollees can be substantial.

Subject to the Terms of this insurance, including without limitation the Exclusions set forth in Section T, the Conditions and Restrictions set forth below and the applicable Deductible and Coinsurance and other limits and sub-limits as specified in the Schedule of Benefits / Limits set forth in Section C, above, in the event the Insured Person suffers or experiences an Unexpected recurrence of a Pre-existing Condition during the Period of Coverage for which immediate Treatment is essential and necessary to stabilize the Pre-existing Condition, the Insured Person will be reimbursed up to US$ 5,000 for Eligible Medical Expenses incurred during the Period of Coverage with respect to the Unexpected recurrence of the Pre-existing Condition.

Supplement, Advantage, and Part D prescription drug plans can pay for many potential out - of - pocket costs, including copays, coinsurance, and deductibles.

In - network care for members of POS plan is less expensive, while for out - of - network care, members pay a deductible and coinsurance.

Anthem Bronze Pathway X 0 For HSA — HSA - eligible plan with $ 5,250 deductible with maximum out - of - pocket expenses of $ 6,250 and 20 % coinsurance.

In most plans, once you pay your deductible, your health insurance company will still use copayments and coinsurance to split costs with you (up to the out - of - pocket max, after which the plan pays for 100 % of services).

You also need to think about your budget, and whether a plan that involves coinsurance or higher deductibles makes the most sense for you.

No coinsurance outside the U.S. and Canada, this plan provides for emergency illnesses and injuries as well as well care, physical therapy, and prescription drugs.

In cases where Medicare does cover your costs, you may be hit with a 20 percent coinsurance cost that may be hard for seniors on a fixed income to cover.

In addition to doctors visits and prescription medications, HSA funds can be withdrawn tax - free for any benefits that the plan requires deductible payment, coinsurance, or other covered plan costs.

Typically, a plan with a lower monthly premium will have a higher deductible, copay, and coinsurance percentage, which increases the amount you'll spend out - of - pocket for health care services.

This type of plan offers a lower monthly premium, but also requires higher out - of - pocket costs for deductibles, copayments and coinsurance.

Coinsurance is the percentage of the cost that you pay for covered services after you've reached your deductible.

If the policyholder were to have a medical claim of $ 10,000 due to major surgery for instance, he or she would first pay the $ 1,000 deductible and then 80/20 coinsurance, or 20 % of $ 5,000, which still limits the policyholder to $ 2,000, even though the medical claim is far more expensive, and the insurer would pay for the remaining $ 8,000