Terms to Know

The percentage you pay for a covered medical treatment or service after you’ve paid your deductible. The amount of your coinsurance depends on the type of medical care or service you receive and your specific plan. It is usually shown as a percentage of the overall cost of the service or treatment.

The fixed amount you must pay after you’ve paid the deductible for each medical visit to a participating doctor or other health care provider, usually at the time of service.

The amount you must pay each year for covered charges before benefits are paid by your plan.

The most you must pay for covered health care services during a plan year.