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Deductible - The amount you pay each calendar year before health insurance benefits are paid for covered medical expenses.
Coinsurance - The percentage of covered expenses you are responsible for after you meet your deductible. For example, you can choose 20% coinsurance of $5,000 (which equals $1,000). That means you'll pay 20% and we pay 80% of the first $5,000 (which equals $4,000) of covered expenses. After that, the insurance company pays 100% of covered charges for the remainder of the year, up to the policy maximum
Copay - The set amount that you pay for a specific service, such as $35 for an office visit. You are usually responsible for payment at the time of service.
Doctor Office Copay - lets you know up front exactly how much you'll pay for routine care. When you add the DOC option to your plan, your copayment is all you pay for an eligible network office visit, things like lab and x-ray, examinations, diagnosis, history of immunizations and allergy shots
Network - A large group of doctors and hospitals who've agreed to provide their services to our customers at a discounted rate. |