Terms to Know
We want to make sure you feel like you’re getting the right plan for you and your family. Here are some terms that you'll need to know.
Coinsurance
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.
Copay
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.
Deductible
The amount you must pay each year for covered charges before benefits are paid by your plan.
Out-of-Pocket Maximum (MOOP)
The most you must pay for covered health care services during a plan year.
Premium
What you pay each month for health insurance coverage.
