Sentences with phrase «coinsurance up»

For example, a plan with 80/20 coinsurance up to $ 5,000 would cost more than a plan with 80/20 coinsurance up to $ 10,000.

Once the insured as paid the coinsurance up to the stop - loss limit, the insurance company covers 100 % of any remaining medical expenses for the same calendar year.

A scenario that best illustrates this feature is as follows: A medical policy with an 80/20 coinsurance up to a stop - loss of $ 5,000.

Example — A policyholder has a major medical plan that includes a $ 1,000 deductible and 80/20 coinsurance up to $ 5,000 in annual expense.

Not exact matches

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

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.

«You have insurance deductibles, coinsurance, and copays» — all of which add up quickly.

There are a few ways that health insurance companies might share costs with you, and they make up major features of your health insurance plan that you need to be aware of: your deductible, your copayment, your coinsurance, and your out - of - pocket limit.

Signing up was extremely easy, and they make it very easy to understand and customize your coverage - from deductible to coinsurance.

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.

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.

The secondary medical insurance policy will pick up the patient responsibility assessed by the primary insurance company, i.e., copay, coinsurance etc..

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).

They'll apply what you paid to your out - of - network deductible and / or reimburse you up to 100 % of what you pay that exceeds your normal copay or coinsurance.

Wellness care up to $ 250 for adults ($ 150 for children) is provided and not subject to deductible or coinsurance.

Without physician referral, it's covered up to $ 25 per visit with a maximum of 20 visits per period of coverage (not subject to coinsurance or deductible).

Elective treatment within the U.S. provider network is covered (for those who select worldwide coverage) up to $ 850,000 with 20 % coinsurance.

Supplemental accident up to $ 300 for each accidental injury — not subject to deductible or coinsurance.

But despite the savings Katherine is getting, she still worries about the 5 % coinsurance adding up.

The flu would be covered as a new illness up to your policy maximum, minus your deductible and coinsurance.

Coinsurance is one of the costs that make up the total that you'll spend out - of - pocket on health expenses, along with copays, your deductible, and premiums.

The chosen deductible applies and Coinsurance: 80 % of the first $ 5,000 then 100 % up to $ 50,000.

Coinsurance: Instead of paying a fixed amount up front (a co-payment), the co-insurance is a percentage of the total cost the insured person may be required to pay.

If a Plan Participant is a U.S. resident traveling outside the United Staes and Canada, this plan shall pay, up to the maximum stated in the Schedule of Benefits subject to the chosen Deductible and Coinsurance, for Covered Expenses resulting from a sudden, unexpected recurrence of a Pre-existing Condition while traveling.

Medicare Part A coinsurance costs, which can add up quickly for inpatient care in hospitals, skilled nursing facilities or mental health care facilities.

Generally, more restrictive health plans reward you with lower cost - sharing requirements, while more permissive health plans require you to pick up a larger part of the bill through higher deductibles, coinsurance, or copayments.

Add up your health insurance premiums and all of your eligible unreimbursed medical expenses like your deductible, copays, and coinsurance.

Your coinsurance set up with your insurer is 80/20, which means that you are now expected to pay 20 % of the remaining $ 100 bill, which comes out to be $ 20.

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.

Extension of Benefits: This Policy shall pay Eligible Benefits incurred in Your Home Country up to the maximum stated in the SCHEDULE OF BENEFITS, minus Your Deductible and selected Coinsurance option (Plan A, B, E, or F), for one hundred and eighty days (180) from the onset of a new covered Injury or Illness that begins while you are traveling and is first diagnosed and treated outside Your Home Country.

Home Country Coverage Benefit Maximum: $ 50,000 Deductible: The chosen deductible Coinsurance: 80 % of the first $ 5,000 then 100 % up to the $ 50,000 maximum Follow Me Home Coverage Benefit Maximum: $ 5,000 Deductible: The chosen deductible Coinsurance: 80 % of the first $ 5,000 then 100 % up to the $ 5,000 maximum

Benefits are paid in excess of your deductible and coinsurance, up to your medical maximum.

After the deductible is satisfied, the plan pays 80 % up to coinsurance maximum then 100 % after that in network, and 60 % up to coinsurance maximum then 100 % after that.